Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.54 / $841.74 / $12,214.00	Facility		$344.54	$841.74	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $301.93 / $753.87	Professional		$189.00	$301.93	$753.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $211.52 / $4,225.91 / $8,267.12	Facility		$211.52	$4,225.91	$8,267.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $332.25 / $570.61 / $2,064.23	Professional		$332.25	$570.61	$2,064.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.29 / $260.29 / $433.65	Facility		$260.29	$260.29	$433.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.94 / $507.63 / $844.41	Professional		$298.94	$507.63	$844.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $273.30 / $444.43 / $911.25	Facility		$273.30	$444.43	$911.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $274.14 / $441.37 / $688.48	Professional		$274.14	$441.37	$688.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $233.34 / $638.79	Professional		$39.53	$233.34	$638.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $344.11 / $543.47 / $578.67	Facility		$344.11	$543.47	$578.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $211.52 / $380.68 / $387.77	Facility		$211.52	$380.68	$387.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.94 / $478.73 / $732.82	Professional		$314.94	$478.73	$732.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,153.55 / $4,321.81 / $8,267.12	Facility		$3,153.55	$4,321.81	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $319.37 / $457.96 / $644.74	Professional		$319.37	$457.96	$644.74
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 $352.17 / $548.60 / $817.77	Professional		$352.17	$548.60	$817.77