Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.00 / $735.81 / $17,100.00	Facility		$352.00	$735.81	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.30 / $353.92 / $728.04	Professional		$210.30	$353.92	$728.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $905.04 / $1,935.85 / $11,500.00	Facility		$905.04	$1,935.85	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $351.65 / $691.18 / $2,600.56	Professional		$351.65	$691.18	$2,600.56
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 $302.99 / $529.77 / $1,060.07	Professional		$302.99	$529.77	$1,060.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $270.01 / $482.28 / $839.90	Facility		$270.01	$482.28	$839.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.00 / $473.07 / $780.96	Professional		$283.00	$473.07	$780.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.22 / $596.97 / $975.51	Professional		$93.22	$596.97	$975.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $377.60 / $547.20 / $704.17	Facility		$377.60	$547.20	$704.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.32 / $477.92 / $480.31	Facility		$306.32	$477.92	$480.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.20 / $526.12 / $887.90	Professional		$346.20	$526.12	$887.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,478.69 / $2,000.46 / $3,745.11	Facility		$1,478.69	$2,000.46	$3,745.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $308.02 / $487.41 / $813.47	Professional		$308.02	$487.41	$813.47
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 $389.34 / $687.02 / $1,013.79	Professional		$389.34	$687.02	$1,013.79