Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.39 / $982.84 / $17,100.00	Facility		$294.39	$982.84	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.93 / $420.09 / $858.82	Professional		$173.93	$420.09	$858.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $287.02 / $5,425.50 / $11,041.39	Facility		$287.02	$5,425.50	$11,041.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $677.24 / $3,365.44	Professional		$275.42	$677.24	$3,365.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.44 / $327.44 / $545.52	Facility		$327.44	$327.44	$545.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.68 / $481.68 / $1,131.88	Professional		$258.68	$481.68	$1,131.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $247.74 / $446.90 / $1,211.25	Facility		$247.74	$446.90	$1,211.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.74 / $432.25 / $959.07	Professional		$247.74	$432.25	$959.07
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 $321.75 / $684.57 / $779.28	Facility		$321.75	$684.57	$779.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.02 / $510.47 / $515.97	Facility		$287.02	$510.47	$515.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.43 / $506.81 / $972.48	Professional		$276.43	$506.81	$972.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,742.95 / $5,768.81 / $11,041.39	Facility		$3,742.95	$5,768.81	$11,041.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $256.33 / $493.75 / $864.56	Professional		$256.33	$493.75	$864.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.00 / $7,326.64 / $11,719.14	Facility		$2,344.00	$7,326.64	$11,719.14
United Facility/Professional Professional Modifier Low / Median / High Price $477.84 / $735.43 / $1,085.22	Professional		$477.84	$735.43	$1,085.22