Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.07 / $960.72 / $17,100.00	Facility		$299.07	$960.72	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.07 / $398.03 / $875.28	Professional		$175.07	$398.03	$875.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $763.96 / $1,935.85 / $11,500.00	Facility		$763.96	$1,935.85	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $296.48 / $728.45 / $2,833.94	Professional		$296.48	$728.45	$2,833.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $449.17 / $449.17 / $748.32	Facility		$449.17	$449.17	$748.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.39 / $488.68 / $1,161.17	Professional		$263.39	$488.68	$1,161.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $261.05 / $487.62 / $1,023.52	Facility		$261.05	$487.62	$1,023.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $258.67 / $473.07 / $969.83	Professional		$258.67	$473.07	$969.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.62 / $555.06 / $907.90	Professional		$86.62	$555.06	$907.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $377.57 / $701.49 / $787.44	Facility		$377.57	$701.49	$787.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.32 / $523.27 / $524.57	Facility		$306.32	$523.27	$524.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.88 / $516.73 / $991.52	Professional		$291.88	$516.73	$991.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,412.56 / $1,934.75 / $3,703.07	Facility		$1,412.56	$1,934.75	$3,703.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $260.10 / $501.96 / $886.23	Professional		$260.10	$501.96	$886.23
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $1,106.00 / $4,911.00	Facility		$591.00	$1,106.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $358.15 / $714.83 / $1,106.47	Professional		$358.15	$714.83	$1,106.47