Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.79 / $578.16 / $14,464.32	Facility		$307.79	$578.16	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.40 / $231.73 / $452.79	Professional		$173.40	$231.73	$452.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $810.44 / $5,167.93 / $12,000.00	Facility		$810.44	$5,167.93	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $264.95 / $431.16 / $2,321.00	Professional		$264.95	$431.16	$2,321.00
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 $262.17 / $420.29 / $678.20	Professional		$262.17	$420.29	$678.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $214.62 / $398.07 / $1,749.26	Facility		$214.62	$398.07	$1,749.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.12 / $396.21 / $703.12	Professional		$234.12	$396.21	$703.12
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 $292.95 / $412.72 / $450.24	Facility		$292.95	$412.72	$450.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $296.72 / $307.10 / $911.96	Facility		$296.72	$307.10	$911.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.12 / $406.57 / $574.85	Professional		$297.12	$406.57	$574.85
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 $274.64 / $392.29 / $530.70	Professional		$274.64	$392.29	$530.70
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 $275.07 / $468.19 / $641.09	Professional		$275.07	$468.19	$641.09