Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.20 / $536.50 / $14,464.32	Facility		$277.20	$536.50	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.35 / $277.20 / $527.53	Professional		$182.35	$277.20	$527.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,084.59 / $9,879.37 / $18,898.13	Facility		$1,084.59	$9,879.37	$18,898.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $287.83 / $484.27 / $1,944.45	Professional		$287.83	$484.27	$1,944.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,353.44 / $2,353.44 / $3,920.80	Facility		$2,353.44	$2,353.44	$3,920.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.64 / $406.34 / $639.19	Professional		$262.64	$406.34	$639.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $228.90 / $418.53 / $3,140.04	Facility		$228.90	$418.53	$3,140.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $250.06 / $415.01 / $648.75	Professional		$250.06	$415.01	$648.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $301.88 / $507.06	Professional		$47.63	$301.88	$507.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $286.82 / $396.64 / $428.13	Facility		$286.82	$396.64	$428.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $282.22 / $292.02 / $1,470.05	Facility		$282.22	$292.02	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.02 / $433.01 / $557.89	Professional		$292.02	$433.01	$557.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,406.33 / $9,660.15 / $18,898.13	Facility		$6,406.33	$9,660.15	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $284.17 / $393.38 / $520.80	Professional		$284.17	$393.38	$520.80
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 $264.58 / $443.51 / $638.12	Professional		$264.58	$443.51	$638.12