Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.28 / $483.42 / $10,122.46	Facility		$112.28	$483.42	$10,122.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $163.06 / $369.07	Professional		$71.09	$163.06	$369.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $123.21 / $4,318.66 / $8,788.86	Facility		$123.21	$4,318.66	$8,788.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $126.05 / $309.77 / $1,334.92	Professional		$126.05	$309.77	$1,334.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.19 / $158.19 / $263.56	Facility		$158.19	$158.19	$263.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.78 / $211.04 / $498.02	Professional		$112.78	$211.04	$498.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $110.09 / $203.36 / $521.25	Facility		$110.09	$203.36	$521.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.96 / $185.88 / $392.42	Professional		$108.96	$185.88	$392.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.76 / $221.32 / $361.37	Professional		$34.76	$221.32	$361.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $147.81 / $299.49 / $326.95	Facility		$147.81	$299.49	$326.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.21 / $218.80 / $223.02	Facility		$123.21	$218.80	$223.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.16 / $223.02 / $408.80	Professional		$124.16	$223.02	$408.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,979.36 / $4,591.92 / $8,788.86	Facility		$2,979.36	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $111.47 / $213.51 / $377.71	Professional		$111.47	$213.51	$377.71
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $1,106.00 / $4,911.00	Facility		$591.00	$1,106.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.68 / $315.38 / $465.38	Professional		$196.68	$315.38	$465.38