Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.98 / $355.31 / $14,464.32	Facility		$91.98	$355.31	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.30 / $135.12 / $323.12	Professional		$55.30	$135.12	$323.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $127.12 / $2,785.02 / $5,667.77	Facility		$127.12	$2,785.02	$5,667.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $87.19 / $283.89 / $1,140.40	Professional		$87.19	$283.89	$1,140.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.52 / $154.52 / $257.42	Facility		$154.52	$154.52	$257.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $158.77 / $469.63	Professional		$80.98	$158.77	$469.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $81.75 / $170.81 / $403.02	Facility		$81.75	$170.81	$403.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $151.08 / $318.24	Professional		$80.45	$151.08	$318.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.88 / $220.97 / $361.25	Professional		$34.88	$220.97	$361.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $247.89 / $309.54	Facility		$118.50	$247.89	$309.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.12 / $211.13 / $212.91	Facility		$127.12	$211.13	$212.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.78 / $167.90 / $396.85	Professional		$86.78	$167.90	$396.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,921.33 / $2,962.94 / $5,667.77	Facility		$1,921.33	$2,962.94	$5,667.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $162.62 / $357.59	Professional		$80.23	$162.62	$357.59
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 $177.32 / $326.47 / $447.03	Professional		$177.32	$326.47	$447.03