Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.74 / $426.63 / $14,464.32	Facility		$221.74	$426.63	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.68 / $204.76 / $491.32	Professional		$126.68	$204.76	$491.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $169.51 / $1,874.13 / $3,814.01	Facility		$169.51	$1,874.13	$3,814.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $217.06 / $402.56 / $1,503.20	Professional		$217.06	$402.56	$1,503.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.91 / $218.91 / $364.70	Facility		$218.91	$218.91	$364.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.37 / $354.30 / $619.37	Professional		$196.37	$354.30	$619.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $190.65 / $319.82 / $611.54	Facility		$190.65	$319.82	$611.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.51 / $314.16 / $508.91	Professional		$194.51	$314.16	$508.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.76 / $301.88 / $514.63	Professional		$47.76	$301.88	$514.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $234.08 / $399.32 / $417.41	Facility		$234.08	$399.32	$417.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.51 / $276.77 / $277.86	Facility		$169.51	$276.77	$277.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.69 / $314.39 / $524.19	Professional		$213.69	$314.39	$524.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,292.92 / $1,992.71 / $3,814.01	Facility		$1,292.92	$1,992.71	$3,814.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $208.62 / $326.89 / $470.59	Professional		$208.62	$326.89	$470.59
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 $257.04 / $428.69 / $587.01	Professional		$257.04	$428.69	$587.01