Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.43 / $4,414.79 / $18,711.00	Facility		$173.43	$4,414.79	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.53 / $162.58 / $252.81	Professional		$128.53	$162.58	$252.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,228.82 / $2,312.85 / $11,500.00	Facility		$1,228.82	$2,312.85	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $208.89 / $363.98 / $1,992.01	Professional		$208.89	$363.98	$1,992.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $664.20 / $664.20 / $1,106.55	Facility		$664.20	$664.20	$1,106.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.00 / $302.87 / $445.09	Professional		$184.00	$302.87	$445.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $175.27 / $305.62 / $1,012.16	Facility		$175.27	$305.62	$1,012.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.27 / $299.42 / $745.54	Professional		$175.27	$299.42	$745.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $109.14 / $136.43 / $267.56	Facility		$109.14	$136.43	$267.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.06 / $201.99 / $337.55	Facility		$197.06	$201.99	$337.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.89 / $336.94 / $414.29	Professional		$208.89	$336.94	$414.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,477.31 / $2,250.40 / $4,357.93	Facility		$1,477.31	$2,250.40	$4,357.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $200.97 / $290.57 / $391.39	Professional		$200.97	$290.57	$391.39
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $1,106.00 / $4,611.00	Facility		$591.00	$1,106.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.24 / $295.39 / $422.90	Professional		$177.24	$295.39	$422.90