Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.68 / $736.96 / $14,464.32	Facility		$314.68	$736.96	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.74 / $305.70 / $682.52	Professional		$171.74	$305.70	$682.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $229.32 / $8,576.15 / $17,453.22	Facility		$229.32	$8,576.15	$17,453.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $303.76 / $533.62 / $1,924.24	Professional		$303.76	$533.62	$1,924.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $282.37 / $282.37 / $470.43	Facility		$282.37	$282.37	$470.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.01 / $468.70 / $794.96	Professional		$276.01	$468.70	$794.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $246.88 / $412.92 / $855.00	Facility		$246.88	$412.92	$855.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.09 / $412.56 / $643.67	Professional		$254.09	$412.56	$643.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $201.42 / $555.55	Professional		$39.46	$201.42	$555.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $295.22 / $497.14 / $537.20	Facility		$295.22	$497.14	$537.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.32 / $356.00 / $357.87	Facility		$229.32	$356.00	$357.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.92 / $430.87 / $668.91	Professional		$287.92	$430.87	$668.91
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 $283.83 / $422.65 / $602.95	Professional		$283.83	$422.65	$602.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $2,887.74 / $6,857.00	Facility		$1,120.00	$2,887.74	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.05 / $534.07 / $752.12	Professional		$319.05	$534.07	$752.12