Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.68 / $2,769.52 / $18,711.00	Facility		$383.68	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.44 / $278.77 / $546.09	Professional		$206.44	$278.77	$546.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,968.10 / $9,879.37 / $18,898.13	Facility		$5,968.10	$9,879.37	$18,898.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $295.41 / $515.42 / $1,791.23	Professional		$295.41	$515.42	$1,791.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,353.44 / $2,353.44 / $3,920.80	Facility		$2,353.44	$2,353.44	$3,920.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.36 / $431.73 / $635.58	Professional		$270.36	$431.73	$635.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $276.48 / $492.21 / $5,967.13	Facility		$276.48	$492.21	$5,967.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $276.48 / $469.20 / $2,641.65	Professional		$276.48	$469.20	$2,641.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $301.88 / $503.80	Professional		$47.73	$301.88	$503.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $315.07 / $406.02 / $420.76	Facility		$315.07	$406.02	$420.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $277.69 / $287.00 / $1,470.05	Facility		$277.69	$287.00	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.41 / $478.72 / $588.62	Professional		$295.41	$478.72	$588.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,406.33 / $9,873.73 / $18,898.13	Facility		$6,406.33	$9,873.73	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $283.20 / $412.85 / $556.09	Professional		$283.20	$412.85	$556.09
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 $271.48 / $437.87 / $643.36	Professional		$271.48	$437.87	$643.36