Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.23 / $529.03 / $13,750.00	Facility		$223.23	$529.03	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $208.60 / $403.34	Professional		$127.50	$208.60	$403.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $568.52 / $4,594.55 / $11,887.47	Facility		$568.52	$4,594.55	$11,887.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $209.61 / $389.18 / $3,577.25	Professional		$209.61	$389.18	$3,577.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,007.00 / $1,007.00 / $1,677.65	Facility		$1,007.00	$1,007.00	$1,677.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.95 / $335.91 / $617.36	Professional		$196.95	$335.91	$617.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $183.21 / $319.62 / $1,436.99	Facility		$183.21	$319.62	$1,436.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.83 / $311.74 / $648.75	Professional		$184.83	$311.74	$648.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.83 / $333.91 / $546.52	Professional		$51.83	$333.91	$546.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $243.88 / $374.70 / $408.70	Facility		$243.88	$374.70	$408.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $272.70 / $278.77 / $625.69	Facility		$272.70	$278.77	$625.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.67 / $312.39 / $511.00	Professional		$216.67	$312.39	$511.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,264.85 / $4,591.92 / $8,788.86	Facility		$3,264.85	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $192.78 / $298.39 / $472.14	Professional		$192.78	$298.39	$472.14
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $249.48 / $427.30 / $585.10	Professional		$249.48	$427.30	$585.10