Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.08 / $7,920.26 / $19,900.00	Facility		$240.08	$7,920.26	$19,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.18 / $144.55 / $343.12	Professional		$133.18	$144.55	$343.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,089.03 / $9,044.98 / $22,922.83	Facility		$5,089.03	$9,044.98	$22,922.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $190.35 / $330.34 / $1,197.23	Professional		$190.35	$330.34	$1,197.23
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 $169.79 / $270.14 / $397.89	Professional		$169.79	$270.14	$397.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $163.18 / $295.73 / $5,198.37	Facility		$163.18	$295.73	$5,198.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.14 / $283.95 / $2,671.90	Professional		$171.14	$283.95	$2,671.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $208.07 / $343.04	Professional		$32.38	$208.07	$343.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $196.98 / $252.20 / $272.58	Facility		$196.98	$252.20	$272.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.67 / $183.71 / $1,367.95	Facility		$176.67	$183.71	$1,367.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.19 / $305.33 / $376.79	Professional		$192.19	$305.33	$376.79
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 $180.18 / $264.27 / $355.97	Professional		$180.18	$264.27	$355.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.95 / $280.63 / $384.27	Professional		$169.95	$280.63	$384.27