Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.65 / $393.80 / $17,100.00	Facility		$204.65	$393.80	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.92 / $166.90 / $364.42	Professional		$111.92	$166.90	$364.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $524.32 / $9,879.37 / $18,898.13	Facility		$524.32	$9,879.37	$18,898.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $201.73 / $338.39 / $1,421.18	Professional		$201.73	$338.39	$1,421.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,353.44 / $2,353.44 / $3,920.80	Facility		$2,353.44	$2,353.44	$3,920.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.17 / $284.93 / $499.32	Professional		$179.17	$284.93	$499.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $145.69 / $266.64 / $3,140.04	Facility		$145.69	$266.64	$3,140.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.32 / $263.67 / $517.50	Professional		$153.32	$263.67	$517.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.21 / $248.09 / $423.47	Professional		$39.21	$248.09	$423.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $201.25 / $283.41 / $330.98	Facility		$201.25	$283.41	$330.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.71 / $225.76 / $1,470.05	Facility		$219.71	$225.76	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.04 / $283.79 / $413.82	Professional		$194.04	$283.79	$413.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,079.47 / $9,873.73 / $18,898.13	Facility		$6,079.47	$9,873.73	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $176.63 / $260.13 / $382.36	Professional		$176.63	$260.13	$382.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.56 / $342.68 / $469.23	Professional		$197.56	$342.68	$469.23