Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.34 / $863.99 / $14,464.32	Facility		$372.34	$863.99	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.18 / $319.75 / $701.72	Professional		$227.18	$319.75	$701.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,415.04 / $4,321.81 / $11,500.00	Facility		$1,415.04	$4,321.81	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $364.39 / $565.24 / $2,017.92	Professional		$364.39	$565.24	$2,017.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $934.63 / $934.63 / $1,557.08	Facility		$934.63	$934.63	$1,557.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.59 / $530.90 / $825.69	Professional		$328.59	$530.90	$825.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $313.10 / $575.94 / $1,381.54	Facility		$313.10	$575.94	$1,381.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.32 / $532.64 / $870.59	Professional		$329.32	$532.64	$870.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.92 / $299.88 / $618.65	Professional		$46.92	$299.88	$618.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $359.85 / $538.78 / $615.05	Facility		$359.85	$538.78	$615.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.76 / $371.08 / $541.04	Facility		$363.76	$371.08	$541.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.39 / $488.09 / $684.06	Professional		$345.39	$488.09	$684.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,153.55 / $4,319.34 / $8,267.12	Facility		$3,153.55	$4,319.34	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $350.84 / $466.68 / $628.49	Professional		$350.84	$466.68	$628.49
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 $354.64 / $569.02 / $809.62	Professional		$354.64	$569.02	$809.62