Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.59 / $2,769.52 / $18,711.00	Facility		$204.59	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.55 / $138.41 / $283.73	Professional		$99.55	$138.41	$283.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $151.30 / $1,958.65 / $3,748.81	Facility		$151.30	$1,958.65	$3,748.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $162.62 / $283.02 / $1,045.20	Professional		$162.62	$283.02	$1,045.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.54 / $528.54 / $880.53	Facility		$528.54	$528.54	$880.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.59 / $230.21 / $340.07	Professional		$146.59	$230.21	$340.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $141.86 / $246.38 / $1,907.75	Facility		$141.86	$246.38	$1,907.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.78 / $243.46 / $593.26	Professional		$148.78	$243.46	$593.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.37 / $207.66 / $343.04	Professional		$32.37	$207.66	$343.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $158.91 / $216.01 / $231.15	Facility		$158.91	$216.01	$231.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.30 / $157.66 / $338.11	Facility		$151.30	$157.66	$338.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.67 / $261.37 / $312.95	Professional		$164.67	$261.37	$312.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,430.01 / $1,958.65 / $3,748.81	Facility		$1,430.01	$1,958.65	$3,748.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.31 / $226.80 / $305.50	Professional		$154.31	$226.80	$305.50
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $1,106.00 / $4,911.00	Facility		$591.00	$1,106.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.97 / $223.99 / $329.25	Professional		$140.97	$223.99	$329.25