Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.43 / $699.00 / $14,833.44	Facility		$293.43	$699.00	$14,833.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.41 / $221.65 / $481.14	Professional		$165.41	$221.65	$481.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $886.28 / $8,859.76 / $16,947.71	Facility		$886.28	$8,859.76	$16,947.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $294.20 / $503.85 / $2,108.00	Professional		$294.20	$503.85	$2,108.00
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 $235.18 / $456.32 / $752.56	Professional		$235.18	$456.32	$752.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $231.29 / $388.83 / $2,679.56	Facility		$231.29	$388.83	$2,679.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $233.21 / $380.13 / $790.31	Professional		$233.21	$380.13	$790.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.93 / $332.25 / $560.53	Professional		$51.93	$332.25	$560.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $266.56 / $407.53 / $501.83	Facility		$266.56	$407.53	$501.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.94 / $342.29 / $1,367.95	Facility		$337.94	$342.29	$1,367.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.39 / $449.01 / $632.66	Professional		$313.39	$449.01	$632.66
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 $294.04 / $422.80 / $584.08	Professional		$294.04	$422.80	$584.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.00 / $2,831.15 / $10,522.00	Facility		$1,862.00	$2,831.15	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.95 / $490.72 / $724.11	Professional		$267.95	$490.72	$724.11