Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.68 / $892.81 / $11,522.02	Facility		$304.68	$892.81	$11,522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.09 / $324.77 / $816.21	Professional		$166.09	$324.77	$816.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $778.76 / $5,410.37 / $11,041.39	Facility		$778.76	$5,410.37	$11,041.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $288.14 / $704.52 / $2,871.76	Professional		$288.14	$704.52	$2,871.76
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 $268.14 / $494.05 / $1,177.16	Professional		$268.14	$494.05	$1,177.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $265.95 / $490.50 / $1,828.65	Facility		$265.95	$490.50	$1,828.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.74 / $453.61 / $1,148.19	Professional		$262.74	$453.61	$1,148.19
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 $328.30 / $602.84 / $778.54	Facility		$328.30	$602.84	$778.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $531.03 / $534.09 / $839.66	Facility		$531.03	$534.09	$839.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.77 / $526.20 / $973.41	Professional		$286.77	$526.20	$973.41
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 $267.10 / $512.22 / $899.39	Professional		$267.10	$512.22	$899.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $1,824.06 / $6,857.00	Facility		$1,120.00	$1,824.06	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $451.88 / $822.85 / $1,126.73	Professional		$451.88	$822.85	$1,126.73