Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.12 / $856.65 / $17,100.00	Facility		$369.12	$856.65	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.78 / $369.12 / $780.48	Professional		$212.78	$369.12	$780.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $877.58 / $1,559.22 / $11,500.00	Facility		$877.58	$1,559.22	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $362.25 / $606.88 / $2,176.48	Professional		$362.25	$606.88	$2,176.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.19 / $388.19 / $646.73	Facility		$388.19	$388.19	$646.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.31 / $547.46 / $888.66	Professional		$326.31	$547.46	$888.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $307.45 / $491.32 / $823.13	Facility		$307.45	$491.32	$823.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $307.52 / $492.13 / $778.09	Professional		$307.52	$492.13	$778.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $247.45 / $684.92	Professional		$39.65	$247.45	$684.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $357.98 / $575.53 / $611.71	Facility		$357.98	$575.53	$611.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.81 / $390.94 / $400.79	Facility		$240.81	$390.94	$400.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.49 / $504.01 / $737.07	Professional		$344.49	$504.01	$737.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,120.58 / $1,549.85 / $2,982.61	Facility		$1,120.58	$1,549.85	$2,982.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $349.10 / $483.68 / $678.80	Professional		$349.10	$483.68	$678.80
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.11 / $601.29 / $839.99	Professional		$364.11	$601.29	$839.99