Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.64 / $4,500.00 / $18,711.00	Facility		$236.64	$4,500.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.02 / $152.93 / $350.46	Professional		$114.02	$152.93	$350.46
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 $186.59 / $320.38 / $1,128.68	Professional		$186.59	$320.38	$1,128.68
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 $167.91 / $266.27 / $392.36	Professional		$167.91	$266.27	$392.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $161.13 / $291.49 / $5,198.37	Facility		$161.13	$291.49	$5,198.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.99 / $287.26 / $2,671.90	Professional		$168.99	$287.26	$2,671.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $164.93 / $270.62	Professional		$25.72	$164.93	$270.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $193.40 / $252.13 / $269.75	Facility		$193.40	$252.13	$269.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.86 / $178.69 / $1,367.95	Facility		$174.86	$178.69	$1,367.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.59 / $298.06 / $366.48	Professional		$186.59	$298.06	$366.48
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 $178.33 / $256.73 / $346.23	Professional		$178.33	$256.73	$346.23
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 $167.64 / $272.16 / $377.19	Professional		$167.64	$272.16	$377.19