Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.66 / $409.92 / $17,100.00	Facility		$242.66	$409.92	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.46 / $235.98 / $379.21	Professional		$131.46	$235.98	$379.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $693.16 / $8,859.76 / $16,947.71	Facility		$693.16	$8,859.76	$16,947.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $237.89 / $403.33 / $1,882.25	Professional		$237.89	$403.33	$1,882.25
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 $185.11 / $362.86 / $627.77	Professional		$185.11	$362.86	$627.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $176.12 / $292.61 / $2,679.56	Facility		$176.12	$292.61	$2,679.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.71 / $292.33 / $662.81	Professional		$176.71	$292.33	$662.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $302.05 / $508.99	Professional		$47.53	$302.05	$508.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $201.39 / $335.65 / $417.41	Facility		$201.39	$335.65	$417.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $283.58 / $284.70 / $1,367.95	Facility		$283.58	$284.70	$1,367.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.74 / $371.87 / $519.27	Professional		$244.74	$371.87	$519.27
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 $229.62 / $337.98 / $482.20	Professional		$229.62	$337.98	$482.20
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 $213.37 / $404.23 / $601.51	Professional		$213.37	$404.23	$601.51