Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.57 / $322.26 / $14,464.32	Facility		$198.57	$322.26	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.90 / $136.61 / $294.26	Professional		$100.90	$136.61	$294.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $127.12 / $8,327.75 / $16,947.71	Facility		$127.12	$8,327.75	$16,947.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $178.77 / $310.23 / $1,581.00	Professional		$178.77	$310.23	$1,581.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.05 / $160.05 / $266.64	Facility		$160.05	$160.05	$266.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.58 / $299.70 / $512.96	Professional		$144.58	$299.70	$512.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $126.85 / $215.50 / $544.67	Facility		$126.85	$215.50	$544.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.37 / $213.51 / $325.56	Professional		$134.37	$213.51	$325.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $222.41 / $364.68	Professional		$34.79	$222.41	$364.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $157.78 / $271.35 / $339.69	Facility		$157.78	$271.35	$339.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.12 / $230.12 / $231.70	Facility		$127.12	$230.12	$231.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.15 / $293.13 / $422.58	Professional		$199.15	$293.13	$422.58
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 $180.79 / $270.89 / $388.60	Professional		$180.79	$270.89	$388.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $4,818.00 / $10,522.00	Facility		$1,550.00	$4,818.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.40 / $278.85 / $489.51	Professional		$156.40	$278.85	$489.51