Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.74 / $321.55 / $17,930.00	Facility		$187.74	$321.55	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.56 / $170.39 / $321.55	Professional		$112.56	$170.39	$321.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $609.08 / $8,859.76 / $22,922.83	Facility		$609.08	$8,859.76	$22,922.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $208.94 / $351.20 / $1,195.88	Professional		$208.94	$351.20	$1,195.88
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 $156.36 / $299.64 / $482.13	Professional		$156.36	$299.64	$482.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $148.96 / $253.65 / $2,679.56	Facility		$148.96	$253.65	$2,679.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $244.82 / $503.43	Professional		$150.19	$244.82	$503.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $216.43 / $388.07	Professional		$34.22	$216.43	$388.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $259.81 / $321.60	Facility		$170.54	$259.81	$321.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $215.63 / $219.36 / $1,367.95	Facility		$215.63	$219.36	$1,367.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.53 / $307.14 / $413.57	Professional		$210.53	$307.14	$413.57
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 $201.57 / $280.35 / $374.54	Professional		$201.57	$280.35	$374.54
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 $170.39 / $289.80 / $461.51	Professional		$170.39	$289.80	$461.51