Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.19 / $2,812.16 / $18,711.00	Facility		$350.19	$2,812.16	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.68 / $282.16 / $550.00	Professional		$160.68	$282.16	$550.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,462.03 / $10,956.90 / $20,959.32	Facility		$1,462.03	$10,956.90	$20,959.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $261.89 / $466.46 / $1,615.05	Professional		$261.89	$466.46	$1,615.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.00 / $479.00 / $3,759.09	Facility		$479.00	$479.00	$3,759.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.62 / $327.75 / $584.53	Professional		$193.62	$327.75	$584.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $246.50 / $481.39 / $3,376.68	Facility		$246.50	$481.39	$3,376.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.50 / $461.46 / $2,787.60	Professional		$246.50	$461.46	$2,787.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.08 / $305.18 / $526.99	Professional		$54.08	$305.18	$526.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $279.64 / $369.17 / $394.63	Facility		$279.64	$369.17	$394.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $249.15 / $249.15 / $612.16	Facility		$249.15	$249.15	$612.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.13 / $427.63 / $517.04	Professional		$268.13	$427.63	$517.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,105.06 / $10,950.64 / $20,959.32	Facility		$7,105.06	$10,950.64	$20,959.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $254.10 / $374.72 / $585.11	Professional		$254.10	$374.72	$585.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $2,155.00 / $11,941.00	Facility		$1,620.00	$2,155.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.37 / $299.32 / $533.91	Professional		$230.37	$299.32	$533.91