Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.13 / $5,183.89 / $17,930.00	Facility		$389.13	$5,183.89	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.29 / $283.48 / $555.41	Professional		$213.29	$283.48	$555.41
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 $304.23 / $522.90 / $2,710.26	Professional		$304.23	$522.90	$2,710.26
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 $275.05 / $437.88 / $648.10	Professional		$275.05	$437.88	$648.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $263.76 / $483.47 / $5,967.13	Facility		$263.76	$483.47	$5,967.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $267.45 / $472.19 / $1,531.84	Professional		$267.45	$472.19	$1,531.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $301.88 / $507.06	Professional		$47.63	$301.88	$507.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $317.02 / $413.39 / $431.12	Facility		$317.02	$413.39	$431.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $283.13 / $292.94 / $839.66	Facility		$283.13	$292.94	$839.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.52 / $488.63 / $600.80	Professional		$301.52	$488.63	$600.80
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 $288.75 / $419.01 / $567.61	Professional		$288.75	$419.01	$567.61
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 $271.92 / $455.05 / $608.27	Professional		$271.92	$455.05	$608.27