Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.81 / $367.65 / $12,214.00	Facility		$227.81	$367.65	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.40 / $166.57 / $353.66	Professional		$117.40	$166.57	$353.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $632.48 / $5,367.06 / $11,500.00	Facility		$632.48	$5,367.06	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $217.02 / $402.74 / $1,433.84	Professional		$217.02	$402.74	$1,433.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.81 / $179.81 / $299.56	Facility		$179.81	$179.81	$299.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.28 / $334.98 / $588.85	Professional		$167.28	$334.98	$588.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $146.79 / $250.25 / $627.17	Facility		$146.79	$250.25	$627.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $250.25 / $366.83	Professional		$156.69	$250.25	$366.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.58 / $277.12 / $476.75	Professional		$43.58	$277.12	$476.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $181.35 / $292.95 / $389.94	Facility		$181.35	$292.95	$389.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.79 / $264.10 / $265.97	Facility		$142.79	$264.10	$265.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.61 / $338.30 / $486.76	Professional		$228.61	$338.30	$486.76
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 $209.36 / $313.47 / $446.47	Professional		$209.36	$313.47	$446.47
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 $187.60 / $373.18 / $563.85	Professional		$187.60	$373.18	$563.85