Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.92 / $5,419.03 / $12,365.42	Facility		$286.92	$5,419.03	$12,365.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.15 / $260.83 / $586.79	Professional		$192.15	$260.83	$586.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,518.34 / $5,772.11 / $14,934.15	Facility		$3,518.34	$5,772.11	$14,934.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $282.01 / $484.72 / $1,688.55	Professional		$282.01	$484.72	$1,688.55
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 $253.37 / $405.87 / $598.98	Professional		$253.37	$405.87	$598.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $244.44 / $446.77 / $5,967.13	Facility		$244.44	$446.77	$5,967.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.10 / $438.33 / $1,531.84	Professional		$245.10	$438.33	$1,531.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.93 / $275.27 / $450.34	Professional		$42.93	$275.27	$450.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $282.00 / $380.56 / $396.64	Facility		$282.00	$380.56	$396.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $261.83 / $270.54 / $839.66	Facility		$261.83	$270.54	$839.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.48 / $451.28 / $554.88	Professional		$278.48	$451.28	$554.88
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 $267.04 / $388.42 / $524.22	Professional		$267.04	$388.42	$524.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $4,097.02 / $10,522.00	Facility		$1,550.00	$4,097.02	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $249.92 / $411.78 / $563.85	Professional		$249.92	$411.78	$563.85