Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.71 / $1,602.25 / $14,464.32	Facility		$126.71	$1,602.25	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.93 / $126.71 / $263.39	Professional		$85.93	$126.71	$263.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,844.35 / $4,594.55 / $11,887.47	Facility		$2,844.35	$4,594.55	$11,887.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $135.47 / $226.86 / $1,509.00	Professional		$135.47	$226.86	$1,509.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,007.00 / $1,007.00 / $1,677.65	Facility		$1,007.00	$1,007.00	$1,677.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.09 / $201.18 / $297.43	Professional		$127.09	$201.18	$297.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $126.28 / $221.35 / $4,702.87	Facility		$126.28	$221.35	$4,702.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.44 / $210.90 / $1,130.32	Professional		$132.44	$210.90	$1,130.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $136.01 / $243.80	Professional		$21.18	$136.01	$243.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $143.96 / $187.06 / $195.64	Facility		$143.96	$187.06	$195.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.84 / $131.62 / $625.69	Facility		$126.84	$131.62	$625.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.54 / $219.14 / $269.94	Professional		$140.54	$219.14	$269.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,509.52 / $4,594.55 / $8,788.86	Facility		$3,509.52	$4,594.55	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $129.36 / $189.34 / $255.02	Professional		$129.36	$189.34	$255.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $1,469.15 / $6,857.00	Facility		$1,120.00	$1,469.15	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.88 / $203.08 / $278.08	Professional		$121.88	$203.08	$278.08