Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.99 / $1,937.88 / $17,930.00	Facility		$102.99	$1,937.88	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.22 / $78.79 / $148.66	Professional		$66.22	$78.79	$148.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,231.09 / $2,035.28 / $11,500.00	Facility		$1,231.09	$2,035.28	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $86.08 / $139.61 / $1,794.00	Professional		$86.08	$139.61	$1,794.00
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 $73.18 / $115.89 / $169.05	Professional		$73.18	$115.89	$169.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $144.40 / $1,591.29	Facility		$82.00	$144.40	$1,591.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.50 / $127.15 / $593.26	Professional		$83.50	$127.15	$593.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $110.96 / $180.72	Professional		$17.11	$110.96	$180.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $88.18 / $109.21 / $144.30	Facility		$88.18	$109.21	$144.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.65 / $76.78 / $338.11	Facility		$75.65	$76.78	$338.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.98 / $128.07 / $153.00	Professional		$81.98	$128.07	$153.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,279.54 / $1,958.65 / $3,748.81	Facility		$1,279.54	$1,958.65	$3,748.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.15 / $110.45 / $148.76	Professional		$77.15	$110.45	$148.76
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 $71.72 / $115.23 / $162.19	Professional		$71.72	$115.23	$162.19