Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.56 / $2,769.52 / $18,711.00	Facility		$193.56	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.68 / $130.79 / $246.59	Professional		$103.68	$130.79	$246.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $144.05 / $1,958.65 / $3,748.81	Facility		$144.05	$1,958.65	$3,748.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $153.82 / $267.26 / $988.95	Professional		$153.82	$267.26	$988.95
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 $139.16 / $217.81 / $322.72	Professional		$139.16	$217.81	$322.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $134.47 / $238.77 / $1,907.75	Facility		$134.47	$238.77	$1,907.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.04 / $230.88 / $593.26	Professional		$141.04	$230.88	$593.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $154.05 / $255.82	Professional		$23.81	$154.05	$255.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $137.94 / $191.67 / $219.09	Facility		$137.94	$191.67	$219.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.05 / $149.44 / $338.11	Facility		$144.05	$149.44	$338.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.97 / $246.46 / $306.50	Professional		$156.97	$246.46	$306.50
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 $146.91 / $214.97 / $289.56	Professional		$146.91	$214.97	$289.56
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 $132.08 / $216.31 / $310.89	Professional		$132.08	$216.31	$310.89