Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.49 / $514.86 / $12,214.00	Facility		$242.49	$514.86	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.15 / $200.14 / $440.12	Professional		$134.15	$200.14	$440.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $621.08 / $5,167.93 / $12,000.00	Facility		$621.08	$5,167.93	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $239.25 / $406.21 / $1,672.81	Professional		$239.25	$406.21	$1,672.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,394.86 / $1,394.86 / $2,323.83	Facility		$1,394.86	$1,394.86	$2,323.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.58 / $337.89 / $598.88	Professional		$212.58	$337.89	$598.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $173.09 / $314.73 / $1,749.26	Facility		$173.09	$314.73	$1,749.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.77 / $311.95 / $618.75	Professional		$175.77	$311.95	$618.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $302.05 / $508.99	Professional		$47.53	$302.05	$508.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $238.39 / $343.71 / $397.31	Facility		$238.39	$343.71	$397.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.19 / $271.00 / $911.96	Facility		$263.19	$271.00	$911.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.93 / $336.53 / $496.76	Professional		$232.93	$336.53	$496.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,770.96 / $5,167.93 / $9,885.68	Facility		$3,770.96	$5,167.93	$9,885.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $209.48 / $308.27 / $458.98	Professional		$209.48	$308.27	$458.98
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 $236.28 / $380.80 / $561.91	Professional		$236.28	$380.80	$561.91