Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.84 / $504.81 / $12,214.00	Facility		$233.84	$504.81	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.12 / $210.16 / $436.40	Professional		$130.12	$210.16	$436.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $134.60 / $1,087.67 / $2,213.50	Facility		$134.60	$1,087.67	$2,213.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $216.95 / $367.18 / $1,793.11	Professional		$216.95	$367.18	$1,793.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.91 / $172.91 / $288.07	Facility		$172.91	$172.91	$288.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.68 / $333.87 / $603.15	Professional		$193.68	$333.87	$603.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $180.37 / $294.10 / $514.67	Facility		$180.37	$294.10	$514.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.37 / $291.97 / $479.23	Professional		$180.37	$291.97	$479.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.83 / $333.91 / $546.52	Professional		$51.83	$333.91	$546.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $230.48 / $362.87 / $401.88	Facility		$230.48	$362.87	$401.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.60 / $267.72 / $271.92	Facility		$134.60	$267.72	$271.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.69 / $308.01 / $498.43	Professional		$213.69	$308.01	$498.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $844.36 / $1,157.15 / $2,213.50	Facility		$844.36	$1,157.15	$2,213.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $208.99 / $303.02 / $460.53	Professional		$208.99	$303.02	$460.53
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 $251.16 / $431.22 / $576.41	Professional		$251.16	$431.22	$576.41