Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.02 / $650.12 / $10,122.46	Facility		$260.02	$650.12	$10,122.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.09 / $257.89 / $555.60	Professional		$150.09	$257.89	$555.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $5,425.50 / $11,041.39	Facility		$327.20	$5,425.50	$11,041.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $255.86 / $456.81 / $1,198.28	Professional		$255.86	$456.81	$1,198.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,364.71 / $1,364.71 / $2,273.59	Facility		$1,364.71	$1,364.71	$2,273.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.26 / $390.82 / $721.61	Professional		$227.26	$390.82	$721.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $207.39 / $373.92 / $1,828.65	Facility		$207.39	$373.92	$1,828.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $211.82 / $366.28 / $756.31	Professional		$211.82	$366.28	$756.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.89 / $386.83 / $632.52	Professional		$59.89	$386.83	$632.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $280.06 / $435.50 / $488.92	Facility		$280.06	$435.50	$488.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $327.52 / $839.66	Facility		$327.20	$327.52	$839.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.89 / $372.84 / $604.97	Professional		$251.89	$372.84	$604.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,102.47 / $5,768.81 / $11,041.39	Facility		$4,102.47	$5,768.81	$11,041.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $227.25 / $358.00 / $554.17	Professional		$227.25	$358.00	$554.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.69 / $507.68 / $695.17	Professional		$302.69	$507.68	$695.17