Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.24 / $873.55 / $17,100.00	Facility		$368.24	$873.55	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.21 / $368.24 / $835.54	Professional		$217.21	$368.24	$835.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $193.72 / $1,465.59 / $3,016.47	Facility		$193.72	$1,465.59	$3,016.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $360.14 / $591.66 / $2,126.96	Professional		$360.14	$591.66	$2,126.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.08 / $257.08 / $428.29	Facility		$257.08	$257.08	$428.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.92 / $544.47 / $865.71	Professional		$323.92	$544.47	$865.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $288.57 / $501.94 / $910.31	Facility		$288.57	$501.94	$910.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $299.70 / $504.38 / $762.12	Professional		$299.70	$504.38	$762.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.93 / $293.99 / $693.40	Professional		$45.93	$293.99	$693.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $341.30 / $567.85 / $669.53	Facility		$341.30	$567.85	$669.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.72 / $384.14 / $390.74	Facility		$193.72	$384.14	$390.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.42 / $508.74 / $721.92	Professional		$349.42	$508.74	$721.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,120.58 / $1,559.22 / $3,043.94	Facility		$1,120.58	$1,559.22	$3,043.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $346.76 / $475.29 / $661.77	Professional		$346.76	$475.29	$661.77
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 $376.51 / $600.75 / $827.77	Professional		$376.51	$600.75	$827.77