Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.92 / $589.57 / $12,214.00	Facility		$279.92	$589.57	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.60 / $248.08 / $494.29	Professional		$146.60	$248.08	$494.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,306.20 / $4,809.85 / $12,000.00	Facility		$1,306.20	$4,809.85	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $290.42 / $516.49 / $1,860.56	Professional		$290.42	$516.49	$1,860.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,126.23 / $1,126.23 / $1,876.28	Facility		$1,126.23	$1,126.23	$1,876.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.24 / $439.38 / $759.11	Professional		$258.24	$439.38	$759.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $237.17 / $399.74 / $1,528.00	Facility		$237.17	$399.74	$1,528.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.17 / $388.85 / $796.87	Professional		$237.17	$388.85	$796.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.89 / $386.83 / $632.52	Professional		$59.89	$386.83	$632.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $289.22 / $473.57 / $505.18	Facility		$289.22	$473.57	$505.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.39 / $344.58 / $676.20	Facility		$338.39	$344.58	$676.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.92 / $408.58 / $631.63	Professional		$285.92	$408.58	$631.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,509.68 / $4,807.10 / $9,200.71	Facility		$3,509.68	$4,807.10	$9,200.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $279.63 / $393.42 / $583.60	Professional		$279.63	$393.42	$583.60
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $314.60 / $492.78 / $727.02	Professional		$314.60	$492.78	$727.02