Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.02 / $2,769.52 / $18,711.00	Facility		$286.02	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $208.31 / $405.68	Professional		$143.31	$208.31	$405.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $200.13 / $1,157.15 / $2,259.02	Facility		$200.13	$1,157.15	$2,259.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $223.06 / $385.12 / $1,344.30	Professional		$223.06	$385.12	$1,344.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.73 / $296.73 / $494.35	Facility		$296.73	$296.73	$494.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.48 / $321.86 / $472.21	Professional		$197.48	$321.86	$472.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $193.62 / $333.08 / $505.67	Facility		$193.62	$333.08	$505.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.24 / $321.17 / $452.19	Professional		$201.24	$321.17	$452.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.93 / $275.27 / $450.34	Professional		$42.93	$275.27	$450.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $223.61 / $297.48 / $313.56	Facility		$223.61	$297.48	$313.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.13 / $206.12 / $213.88	Facility		$200.13	$206.12	$213.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.07 / $353.06 / $438.66	Professional		$224.07	$353.06	$438.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $750.36 / $1,157.15 / $2,213.50	Facility		$750.36	$1,157.15	$2,213.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $210.21 / $307.67 / $414.41	Professional		$210.21	$307.67	$414.41
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.83 / $313.26 / $446.00	Professional		$198.83	$313.26	$446.00