Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.13 / $700.84 / $14,464.32	Facility		$193.13	$700.84	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.75 / $275.93 / $680.50	Professional		$98.75	$275.93	$680.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $730.43 / $1,157.15 / $11,500.00	Facility		$730.43	$1,157.15	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $189.17 / $543.95 / $2,134.04	Professional		$189.17	$543.95	$2,134.04
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 $168.55 / $332.03 / $870.01	Professional		$168.55	$332.03	$870.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $172.76 / $333.08 / $749.45	Facility		$172.76	$333.08	$749.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.09 / $312.52 / $694.22	Professional		$171.09	$312.52	$694.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.12 / $443.43 / $722.75	Professional		$69.12	$443.43	$722.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $209.04 / $497.14 / $572.85	Facility		$209.04	$497.14	$572.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.13 / $390.74 / $400.91	Facility		$200.13	$390.74	$400.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.31 / $346.91 / $744.07	Professional		$179.31	$346.91	$744.07
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 $182.13 / $342.83 / $661.77	Professional		$182.13	$342.83	$661.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $1,430.16 / $2,624.46	Facility		$1,051.00	$1,430.16	$2,624.46
United Facility/Professional Professional Modifier Low / Median / High Price $341.45 / $543.21 / $830.33	Professional		$341.45	$543.21	$830.33