Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.49 / $388.92 / $10,122.46	Facility		$185.49	$388.92	$10,122.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.34 / $150.91 / $305.64	Professional		$101.34	$150.91	$305.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $91.16 / $3,690.91 / $7,511.33	Facility		$91.16	$3,690.91	$7,511.33
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $177.70 / $306.58 / $1,130.96	Professional		$177.70	$306.58	$1,130.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,367.85 / $1,367.85 / $2,278.82	Facility		$1,367.85	$1,367.85	$2,278.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.94 / $270.01 / $458.68	Professional		$163.94	$270.01	$458.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $132.09 / $256.22 / $1,535.36	Facility		$132.09	$256.22	$1,535.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.37 / $246.93 / $477.18	Professional		$132.37	$246.93	$477.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.97 / $278.79 / $453.80	Professional		$42.97	$278.79	$453.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $186.60 / $259.95 / $304.85	Facility		$186.60	$259.95	$304.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.16 / $202.94 / $207.94	Facility		$91.16	$202.94	$207.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.72 / $258.60 / $381.15	Professional		$178.72	$258.60	$381.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,865.25 / $3,926.70 / $7,511.33	Facility		$2,865.25	$3,926.70	$7,511.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $161.55 / $236.07 / $352.17	Professional		$161.55	$236.07	$352.17
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 $184.79 / $318.70 / $458.55	Professional		$184.79	$318.70	$458.55