Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.99 / $408.06 / $13,560.07	Facility		$216.99	$408.06	$13,560.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.47 / $183.11 / $373.10	Professional		$143.47	$183.11	$373.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $734.64 / $8,859.76 / $16,947.71	Facility		$734.64	$8,859.76	$16,947.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $250.40 / $417.07 / $1,369.84	Professional		$250.40	$417.07	$1,369.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,380.38 / $2,380.38 / $3,965.68	Facility		$2,380.38	$2,380.38	$3,965.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.51 / $352.05 / $558.75	Professional		$183.51	$352.05	$558.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $174.66 / $302.29 / $2,679.56	Facility		$174.66	$302.29	$2,679.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.85 / $298.70 / $583.12	Professional		$174.85	$298.70	$583.12
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 $199.92 / $300.49 / $372.52	Facility		$199.92	$300.49	$372.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.96 / $254.09 / $1,367.95	Facility		$250.96	$254.09	$1,367.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.31 / $368.09 / $478.46	Professional		$252.31	$368.09	$478.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,745.15 / $8,854.69 / $16,947.71	Facility		$5,745.15	$8,854.69	$16,947.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $241.57 / $337.71 / $441.99	Professional		$241.57	$337.71	$441.99
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 $198.24 / $375.56 / $533.92	Professional		$198.24	$375.56	$533.92