Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.53 / $2,769.52 / $18,711.00	Facility		$87.53	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $55.34 / $123.39	Professional		$42.11	$55.34	$123.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,089.03 / $9,044.98 / $16,947.71	Facility		$5,089.03	$9,044.98	$16,947.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $109.63 / $550.76	Professional		$67.27	$109.63	$550.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,380.38 / $2,380.38 / $3,965.68	Facility		$2,380.38	$2,380.38	$3,965.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.56 / $98.50 / $145.19	Professional		$60.56	$98.50	$145.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $59.22 / $109.39 / $5,198.37	Facility		$59.22	$109.39	$5,198.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.49 / $102.88 / $2,671.90	Professional		$61.49	$102.88	$2,671.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.24 / $109.89 / $180.63	Professional		$17.24	$109.89	$180.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $73.67 / $91.12 / $97.92	Facility		$73.67	$91.12	$97.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.51 / $65.34 / $1,367.95	Facility		$62.51	$65.34	$1,367.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $108.05 / $134.03	Professional		$68.56	$108.05	$134.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,745.15 / $8,854.69 / $16,947.71	Facility		$5,745.15	$8,854.69	$16,947.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.76 / $94.01 / $126.63	Professional		$63.76	$94.01	$126.63
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 $59.84 / $93.73 / $137.10	Professional		$59.84	$93.73	$137.10