Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.43 / $1,061.68 / $13,210.71	Facility		$184.43	$1,061.68	$13,210.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.99 / $378.35 / $868.66	Professional		$151.99	$378.35	$868.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $654.52 / $5,772.11 / $14,934.15	Facility		$654.52	$5,772.11	$14,934.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $241.95 / $685.73 / $3,502.01	Professional		$241.95	$685.73	$3,502.01
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 $225.65 / $444.84 / $1,149.32	Professional		$225.65	$444.84	$1,149.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $223.45 / $567.63 / $1,828.65	Facility		$223.45	$567.63	$1,828.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.99 / $454.10 / $1,130.69	Professional		$220.99	$454.10	$1,130.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.99 / $609.93 / $1,001.27	Professional		$94.99	$609.93	$1,001.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $289.05 / $696.45 / $788.80	Facility		$289.05	$696.45	$788.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $516.87 / $522.30 / $839.66	Facility		$516.87	$522.30	$839.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.80 / $465.89 / $982.00	Professional		$240.80	$465.89	$982.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,408.99 / $5,768.81 / $11,041.39	Facility		$4,408.99	$5,768.81	$11,041.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $221.86 / $452.79 / $878.22	Professional		$221.86	$452.79	$878.22
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 $482.68 / $800.29 / $1,095.83	Professional		$482.68	$800.29	$1,095.83