Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.16 / $763.71 / $14,464.32	Facility		$387.16	$763.71	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.04 / $319.48 / $703.85	Professional		$175.04	$319.48	$703.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,477.14 / $8,052.47 / $15,403.47	Facility		$1,477.14	$8,052.47	$15,403.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $376.85 / $698.02 / $2,481.12	Professional		$376.85	$698.02	$2,481.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,708.80 / $1,708.80 / $2,846.84	Facility		$1,708.80	$1,708.80	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.41 / $558.03 / $1,028.09	Professional		$316.41	$558.03	$1,028.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $280.55 / $511.57 / $2,421.55	Facility		$280.55	$511.57	$2,421.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.83 / $507.16 / $1,095.33	Professional		$295.83	$507.16	$1,095.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $393.81 / $775.58	Professional		$49.75	$393.81	$775.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $320.93 / $556.41 / $682.73	Facility		$320.93	$556.41	$682.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $465.68 / $467.04 / $1,048.55	Facility		$465.68	$467.04	$1,048.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $379.63 / $545.53 / $863.28	Professional		$379.63	$545.53	$863.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,899.91 / $8,047.87 / $15,403.47	Facility		$4,899.91	$8,047.87	$15,403.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $338.18 / $521.22 / $788.71	Professional		$338.18	$521.22	$788.71
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $380.88 / $658.00 / $985.78	Professional		$380.88	$658.00	$985.78