Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.63 / $851.36 / $16,398.00	Facility		$335.63	$851.36	$16,398.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.75 / $344.63 / $773.59	Professional		$187.75	$344.63	$773.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $238.23 / $8,327.75 / $16,947.71	Facility		$238.23	$8,327.75	$16,947.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $315.86 / $652.54 / $2,590.32	Professional		$315.86	$652.54	$2,590.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.10 / $291.10 / $484.97	Facility		$291.10	$291.10	$484.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.22 / $534.09 / $1,060.33	Professional		$292.22	$534.09	$1,060.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $279.93 / $441.28 / $1,125.93	Facility		$279.93	$441.28	$1,125.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $279.93 / $441.28 / $795.09	Professional		$279.93	$441.28	$795.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.49 / $542.24 / $888.17	Professional		$84.49	$542.24	$888.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $359.12 / $607.02 / $706.85	Facility		$359.12	$607.02	$706.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.23 / $481.22 / $483.80	Facility		$238.23	$481.22	$483.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.50 / $496.18 / $887.68	Professional		$326.50	$496.18	$887.68
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 $294.02 / $493.42 / $815.02	Professional		$294.02	$493.42	$815.02
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 $438.50 / $694.21 / $1,007.94	Professional		$438.50	$694.21	$1,007.94