Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.56 / $261.63 / $17,100.00	Facility		$145.56	$261.63	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.51 / $111.45 / $237.18	Professional		$80.51	$111.45	$237.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $367.76 / $14,095.51 / $26,963.11	Facility		$367.76	$14,095.51	$26,963.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $136.85 / $241.88 / $927.68	Professional		$136.85	$241.88	$927.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,164.22 / $3,164.22 / $5,271.55	Facility		$3,164.22	$3,164.22	$5,271.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.67 / $210.82 / $377.66	Professional		$112.67	$210.82	$377.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $103.63 / $183.48 / $4,503.49	Facility		$103.63	$183.48	$4,503.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.77 / $176.61 / $397.50	Professional		$109.77	$176.61	$397.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $221.93 / $361.44	Professional		$34.22	$221.93	$361.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $127.42 / $199.88 / $252.59	Facility		$127.42	$199.88	$252.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.29 / $173.05 / $1,964.09	Facility		$172.29	$173.05	$1,964.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.19 / $206.19 / $316.16	Professional		$136.19	$206.19	$316.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,791.87 / $14,087.45 / $26,963.11	Facility		$8,791.87	$14,087.45	$26,963.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $127.62 / $192.84 / $291.80	Professional		$127.62	$192.84	$291.80
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 $128.81 / $248.63 / $366.89	Professional		$128.81	$248.63	$366.89