Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.83 / $569.51 / $14,464.32	Facility		$302.83	$569.51	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.04 / $294.33 / $532.60	Professional		$189.04	$294.33	$532.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $884.12 / $5,772.11 / $14,934.15	Facility		$884.12	$5,772.11	$14,934.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $308.42 / $509.28 / $1,989.53	Professional		$308.42	$509.28	$1,989.53
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 $271.58 / $436.04 / $692.06	Professional		$271.58	$436.04	$692.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $232.20 / $440.63 / $1,828.65	Facility		$232.20	$440.63	$1,828.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.97 / $423.89 / $707.81	Professional		$245.97	$423.89	$707.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $332.90 / $542.16	Professional		$51.33	$332.90	$542.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.81 / $418.75 / $463.64	Facility		$302.81	$418.75	$463.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.68 / $316.24 / $839.66	Facility		$306.68	$316.24	$839.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.94 / $444.88 / $596.01	Professional		$304.94	$444.88	$596.01
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 $300.87 / $406.60 / $556.44	Professional		$300.87	$406.60	$556.44
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 $283.80 / $482.29 / $693.92	Professional		$283.80	$482.29	$693.92