Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.22 / $552.11 / $13,750.00	Facility		$293.22	$552.11	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.16 / $220.11 / $502.09	Professional		$163.16	$220.11	$502.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $877.12 / $8,859.76 / $16,947.71	Facility		$877.12	$8,859.76	$16,947.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $290.92 / $475.24 / $3,162.00	Professional		$290.92	$475.24	$3,162.00
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 $238.90 / $454.05 / $750.86	Professional		$238.90	$454.05	$750.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $232.76 / $386.46 / $2,679.56	Facility		$232.76	$386.46	$2,679.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.76 / $384.50 / $787.50	Professional		$232.76	$384.50	$787.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.93 / $332.25 / $560.53	Professional		$51.93	$332.25	$560.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $269.38 / $404.82 / $500.49	Facility		$269.38	$404.82	$500.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.94 / $341.38 / $1,367.95	Facility		$337.94	$341.38	$1,367.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.07 / $449.02 / $626.00	Professional		$310.07	$449.02	$626.00
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 $295.74 / $418.32 / $578.17	Professional		$295.74	$418.32	$578.17
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 $267.54 / $506.86 / $721.24	Professional		$267.54	$506.86	$721.24