Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.38 / $2,769.52 / $18,711.00	Facility		$225.38	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.39 / $162.86 / $346.01	Professional		$127.39	$162.86	$346.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,729.58 / $4,594.55 / $11,887.47	Facility		$2,729.58	$4,594.55	$11,887.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $176.74 / $303.77 / $1,939.05	Professional		$176.74	$303.77	$1,939.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,007.00 / $1,007.00 / $1,677.65	Facility		$1,007.00	$1,007.00	$1,677.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.46 / $253.60 / $375.70	Professional		$162.46	$253.60	$375.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $154.90 / $298.20 / $1,534.54	Facility		$154.90	$298.20	$1,534.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.53 / $279.33 / $1,130.32	Professional		$159.53	$279.33	$1,130.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $164.75 / $270.47	Professional		$25.72	$164.75	$270.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $205.15 / $243.48 / $263.16	Facility		$205.15	$243.48	$263.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.89 / $170.46 / $625.69	Facility		$164.89	$170.46	$625.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.74 / $284.33 / $349.61	Professional		$176.74	$284.33	$349.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,979.36 / $4,591.92 / $8,788.86	Facility		$2,979.36	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $168.17 / $243.43 / $330.29	Professional		$168.17	$243.43	$330.29
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $1,106.00 / $4,911.00	Facility		$591.00	$1,106.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.72 / $254.11 / $353.94	Professional		$159.72	$254.11	$353.94