Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.99 / $479.53 / $14,464.32	Facility		$248.99	$479.53	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.22 / $248.99 / $471.09	Professional		$156.22	$248.99	$471.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $88.67 / $5,425.50 / $11,041.39	Facility		$88.67	$5,425.50	$11,041.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $258.26 / $437.30 / $1,652.55	Professional		$258.26	$437.30	$1,652.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.65 / $118.65 / $197.66	Facility		$118.65	$118.65	$197.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.30 / $367.04 / $570.02	Professional		$233.30	$367.04	$570.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $167.40 / $347.06 / $584.05	Facility		$167.40	$347.06	$584.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.34 / $342.18 / $460.50	Professional		$173.34	$342.18	$460.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $250.50 / $499.21	Professional		$39.36	$250.50	$499.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $256.27 / $353.09 / $383.24	Facility		$256.27	$353.09	$383.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.67 / $253.23 / $261.39	Facility		$88.67	$253.23	$261.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.20 / $391.82 / $502.60	Professional		$256.20	$391.82	$502.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,211.81 / $5,768.81 / $11,041.39	Facility		$4,211.81	$5,768.81	$11,041.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $258.19 / $351.49 / $469.20	Professional		$258.19	$351.49	$469.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,748.34 / $1,862.00 / $10,522.00	Facility		$1,748.34	$1,862.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.72 / $410.27 / $540.41	Professional		$236.72	$410.27	$540.41