Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.40 / $566.92 / $13,750.00	Facility		$231.40	$566.92	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.22 / $207.12 / $522.58	Professional		$124.22	$207.12	$522.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $176.98 / $8,576.15 / $17,453.22	Facility		$176.98	$8,576.15	$17,453.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $224.33 / $433.68 / $1,611.76	Professional		$224.33	$433.68	$1,611.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.26 / $226.26 / $376.94	Facility		$226.26	$226.26	$376.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.34 / $360.60 / $664.37	Professional		$202.34	$360.60	$664.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $184.76 / $315.98 / $713.43	Facility		$184.76	$315.98	$713.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.38 / $308.38 / $524.77	Professional		$187.38	$308.38	$524.77
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 $231.79 / $395.38 / $437.51	Facility		$231.79	$395.38	$437.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.98 / $294.45 / $298.42	Facility		$176.98	$294.45	$298.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.85 / $335.63 / $547.02	Professional		$220.85	$335.63	$547.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,101.25 / $17,453.22	Facility		$5,916.52	$9,101.25	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $209.62 / $347.75 / $505.42	Professional		$209.62	$347.75	$505.42
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 $258.43 / $473.10 / $632.40	Professional		$258.43	$473.10	$632.40