Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.82 / $582.35 / $17,100.00	Facility		$266.82	$582.35	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.36 / $242.03 / $432.07	Professional		$147.36	$242.03	$432.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $681.40 / $1,935.85 / $11,500.00	Facility		$681.40	$1,935.85	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $264.22 / $455.24 / $1,672.81	Professional		$264.22	$455.24	$1,672.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $449.17 / $449.17 / $748.32	Facility		$449.17	$449.17	$748.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.86 / $384.10 / $670.65	Professional		$230.86	$384.10	$670.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $199.33 / $365.12 / $656.24	Facility		$199.33	$365.12	$656.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $211.31 / $358.05 / $585.13	Professional		$211.31	$358.05	$585.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.93 / $330.30 / $572.33	Professional		$51.93	$330.30	$572.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $267.99 / $411.38 / $446.22	Facility		$267.99	$411.38	$446.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.81 / $304.36 / $306.32	Facility		$295.81	$304.36	$306.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.25 / $372.04 / $557.91	Professional		$260.25	$372.04	$557.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,478.69 / $2,000.46 / $3,920.04	Facility		$1,478.69	$2,000.46	$3,920.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $231.56 / $340.66 / $515.48	Professional		$231.56	$340.66	$515.48
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 $276.76 / $440.29 / $634.34	Professional		$276.76	$440.29	$634.34