Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.23 / $3,810.00 / $18,711.00	Facility		$331.23	$3,810.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $214.19 / $439.35	Professional		$149.97	$214.19	$439.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $245.53 / $7,568.94 / $15,403.47	Facility		$245.53	$7,568.94	$15,403.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $254.44 / $453.18 / $1,581.45	Professional		$254.44	$453.18	$1,581.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,708.80 / $1,708.80 / $2,846.84	Facility		$1,708.80	$1,708.80	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.25 / $378.92 / $554.54	Professional		$210.25	$378.92	$554.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $371.30 / $3,271.42	Facility		$215.00	$371.30	$3,271.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $227.75 / $349.81 / $1,918.07	Professional		$227.75	$349.81	$1,918.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.22 / $247.58 / $417.57	Professional		$39.22	$247.58	$417.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $244.02 / $335.00 / $367.16	Facility		$244.02	$335.00	$367.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.53 / $250.44 / $1,048.55	Facility		$245.53	$250.44	$1,048.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.77 / $417.57 / $513.64	Professional		$257.77	$417.57	$513.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,899.91 / $8,047.87 / $15,403.47	Facility		$4,899.91	$8,047.87	$15,403.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $250.40 / $360.26 / $485.25	Professional		$250.40	$360.26	$485.25
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.50 / $357.01 / $527.15	Professional		$218.50	$357.01	$527.15