Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.76 / $487.87 / $17,100.00	Facility		$258.76	$487.87	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.10 / $210.06 / $442.62	Professional		$143.10	$210.06	$442.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $661.64 / $5,772.11 / $14,934.15	Facility		$661.64	$5,772.11	$14,934.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $244.26 / $411.00 / $1,723.13	Professional		$244.26	$411.00	$1,723.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,364.71 / $1,364.71 / $2,273.59	Facility		$1,364.71	$1,364.71	$2,273.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.48 / $359.95 / $604.54	Professional		$221.48	$359.95	$604.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $179.80 / $338.05 / $1,828.65	Facility		$179.80	$338.05	$1,828.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.56 / $336.40 / $624.37	Professional		$183.56	$336.40	$624.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.97 / $278.79 / $453.80	Professional		$42.97	$278.79	$453.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $255.82 / $353.76 / $402.00	Facility		$255.82	$353.76	$402.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $265.91 / $274.20 / $839.66	Facility		$265.91	$274.20	$839.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.10 / $354.35 / $502.62	Professional		$243.10	$354.35	$502.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,211.81 / $5,768.81 / $11,041.39	Facility		$4,211.81	$5,768.81	$11,041.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $224.02 / $321.27 / $464.40	Professional		$224.02	$321.27	$464.40
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 $244.20 / $387.34 / $571.57	Professional		$244.20	$387.34	$571.57