Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.34 / $641.65 / $17,930.00	Facility		$329.34	$641.65	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.92 / $253.15 / $532.53	Professional		$193.92	$253.15	$532.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,001.52 / $5,167.93 / $13,370.99	Facility		$1,001.52	$5,167.93	$13,370.99
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $347.26 / $594.10 / $2,065.76	Professional		$347.26	$594.10	$2,065.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,394.86 / $1,394.86 / $2,323.83	Facility		$1,394.86	$1,394.86	$2,323.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.72 / $519.78 / $842.64	Professional		$277.72	$519.78	$842.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $263.14 / $449.19 / $1,749.26	Facility		$263.14	$449.19	$1,749.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.11 / $441.83 / $881.25	Professional		$270.11	$441.83	$881.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.81 / $397.58 / $689.39	Professional		$61.81	$397.58	$689.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $312.50 / $455.90 / $562.13	Facility		$312.50	$455.90	$562.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $379.16 / $383.42 / $911.96	Facility		$379.16	$383.42	$911.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.37 / $507.71 / $714.95	Professional		$354.37	$507.71	$714.95
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 $341.85 / $478.08 / $658.13	Professional		$341.85	$478.08	$658.13
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 $304.50 / $548.29 / $809.08	Professional		$304.50	$548.29	$809.08