Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.49 / $2,769.52 / $18,711.00	Facility		$135.49	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.05 / $97.00 / $195.30	Professional		$76.05	$97.00	$195.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,597.82 / $8,052.47 / $15,403.47	Facility		$4,597.82	$8,052.47	$15,403.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $104.43 / $182.60 / $1,656.28	Professional		$104.43	$182.60	$1,656.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,708.80 / $1,708.80 / $2,846.84	Facility		$1,708.80	$1,708.80	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.38 / $152.46 / $224.16	Professional		$96.38	$152.46	$224.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $91.67 / $170.29 / $3,947.18	Facility		$91.67	$170.29	$3,947.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.02 / $165.30 / $1,918.07	Professional		$92.02	$165.30	$1,918.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $110.96 / $180.72	Professional		$17.11	$110.96	$180.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $111.23 / $144.05 / $151.51	Facility		$111.23	$144.05	$151.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.30 / $101.45 / $1,048.55	Facility		$98.30	$101.45	$1,048.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.43 / $168.75 / $208.08	Professional		$104.43	$168.75	$208.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $100.25 / $145.94 / $196.58	Professional		$100.25	$145.94	$196.58
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 $94.16 / $155.54 / $212.40	Professional		$94.16	$155.54	$212.40