Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.27 / $422.60 / $14,464.32	Facility		$188.27	$422.60	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.30 / $165.85 / $314.77	Professional		$105.30	$165.85	$314.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $202.04 / $1,673.37 / $3,405.45	Facility		$202.04	$1,673.37	$3,405.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $178.45 / $313.88 / $1,131.59	Professional		$178.45	$313.88	$1,131.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $787.12 / $787.12 / $787.12	Facility		$787.12	$787.12	$787.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.69 / $277.14 / $460.86	Professional		$163.69	$277.14	$460.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $150.66 / $268.55 / $552.04	Facility		$150.66	$268.55	$552.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.76 / $263.26 / $444.76	Professional		$153.76	$263.26	$444.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $212.46 / $347.65	Professional		$34.44	$212.46	$347.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $197.98 / $298.68 / $310.88	Facility		$197.98	$298.68	$310.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.04 / $202.04 / $209.76	Facility		$202.04	$202.04	$209.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.86 / $256.33 / $376.44	Professional		$175.86	$256.33	$376.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,154.42 / $1,780.27 / $3,405.45	Facility		$1,154.42	$1,780.27	$3,405.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $165.36 / $237.61 / $355.27	Professional		$165.36	$237.61	$355.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,673.36 / $2,277.06 / $4,255.08	Facility		$1,673.36	$2,277.06	$4,255.08
United Facility/Professional Professional Modifier Low / Median / High Price $186.06 / $269.13 / $437.37	Professional		$186.06	$269.13	$437.37