Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.54 / $357.81 / $14,464.32	Facility		$80.54	$357.81	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.43 / $116.48 / $257.73	Professional		$44.43	$116.48	$257.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $154.47 / $4,266.04 / $8,681.78	Facility		$154.47	$4,266.04	$8,681.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $76.80 / $218.85 / $995.93	Professional		$76.80	$218.85	$995.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,497.91 / $1,497.91 / $1,497.91	Facility		$1,497.91	$1,497.91	$1,497.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $152.00 / $349.40	Professional		$71.65	$152.00	$349.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $70.30 / $198.93 / $1,313.62	Facility		$70.30	$198.93	$1,313.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.76 / $159.15 / $373.69	Professional		$69.76	$159.15	$373.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.76 / $213.89 / $352.31	Professional		$34.76	$213.89	$352.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $86.43 / $223.88 / $255.27	Facility		$86.43	$223.88	$255.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.47 / $154.47 / $157.21	Facility		$154.47	$154.47	$157.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.44 / $147.88 / $284.20	Professional		$76.44	$147.88	$284.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,943.06 / $4,535.97 / $8,681.78	Facility		$2,943.06	$4,535.97	$8,681.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.01 / $136.52 / $266.26	Professional		$70.01	$136.52	$266.26
United Facility/Professional Facility Modifier Low / Median / High Price $648.00 / $1,875.00 / $4,911.00	Facility		$648.00	$1,875.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.01 / $220.97 / $343.53	Professional		$150.01	$220.97	$343.53