Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.63 / $1,474.10 / $11,522.02	Facility		$357.63	$1,474.10	$11,522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.78 / $302.19 / $669.08	Professional		$203.78	$302.19	$669.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $941.36 / $5,772.11 / $14,934.15	Facility		$941.36	$5,772.11	$14,934.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $347.62 / $548.07 / $1,922.80	Professional		$347.62	$548.07	$1,922.80
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 $308.86 / $489.71 / $777.23	Professional		$308.86	$489.71	$777.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $262.82 / $483.28 / $1,828.65	Facility		$262.82	$483.28	$1,828.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $265.42 / $477.46 / $799.68	Professional		$265.42	$477.46	$799.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.90 / $356.23 / $596.14	Professional		$55.90	$356.23	$596.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $346.33 / $492.45 / $521.55	Facility		$346.33	$492.45	$521.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.09 / $353.72 / $839.66	Facility		$346.09	$353.72	$839.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.39 / $471.22 / $669.36	Professional		$345.39	$471.22	$669.36
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 $319.87 / $451.84 / $617.95	Professional		$319.87	$451.84	$617.95
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 $327.22 / $517.29 / $739.58	Professional		$327.22	$517.29	$739.58