Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.25 / $386.27 / $14,464.32	Facility		$211.25	$386.27	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.12 / $205.66 / $358.66	Professional		$128.12	$205.66	$358.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $694.04 / $8,859.76 / $16,947.71	Facility		$694.04	$8,859.76	$16,947.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $212.96 / $353.56 / $1,555.00	Professional		$212.96	$353.56	$1,555.00
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 $172.75 / $334.98 / $540.79	Professional		$172.75	$334.98	$540.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $164.66 / $276.62 / $2,679.56	Facility		$164.66	$276.62	$2,679.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.05 / $275.50 / $567.17	Professional		$166.05	$275.50	$567.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.21 / $248.09 / $423.47	Professional		$39.21	$248.09	$423.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $187.99 / $290.61 / $359.79	Facility		$187.99	$290.61	$359.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.90 / $245.41 / $1,367.95	Facility		$241.90	$245.41	$1,367.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.29 / $349.10 / $462.02	Professional		$239.29	$349.10	$462.02
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 $229.10 / $319.06 / $418.36	Professional		$229.10	$319.06	$418.36
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 $191.52 / $362.84 / $515.58	Professional		$191.52	$362.84	$515.58