Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.69 / $617.04 / $12,866.22	Facility		$309.69	$617.04	$12,866.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.03 / $251.28 / $475.82	Professional		$171.03	$251.28	$475.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $791.00 / $4,594.55 / $11,887.47	Facility		$791.00	$4,594.55	$11,887.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $300.33 / $482.66 / $2,014.13	Professional		$300.33	$482.66	$2,014.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,007.00 / $1,007.00 / $1,677.65	Facility		$1,007.00	$1,007.00	$1,677.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.33 / $423.98 / $702.71	Professional		$259.33	$423.98	$702.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $210.27 / $397.42 / $1,436.99	Facility		$210.27	$397.42	$1,436.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.73 / $393.24 / $728.43	Professional		$222.73	$393.24	$728.43
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 $298.45 / $412.72 / $467.66	Facility		$298.45	$412.72	$467.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $311.20 / $318.99 / $625.69	Facility		$311.20	$318.99	$625.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.37 / $416.64 / $584.71	Professional		$291.37	$416.64	$584.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,979.36 / $4,591.92 / $8,788.86	Facility		$2,979.36	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $268.17 / $385.07 / $540.61	Professional		$268.17	$385.07	$540.61
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 $289.36 / $485.81 / $654.54	Professional		$289.36	$485.81	$654.54