Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.33 / $628.41 / $13,750.00	Facility		$284.33	$628.41	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.47 / $228.16 / $534.44	Professional		$174.47	$228.16	$534.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $911.44 / $2,278.19 / $11,500.00	Facility		$911.44	$2,278.19	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $326.00 / $519.79 / $3,296.00	Professional		$326.00	$519.79	$3,296.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $664.20 / $664.20 / $1,106.55	Facility		$664.20	$664.20	$1,106.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.77 / $454.67 / $721.63	Professional		$269.77	$454.67	$721.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $242.34 / $440.07 / $745.54	Facility		$242.34	$440.07	$745.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $258.26 / $436.63 / $678.28	Professional		$258.26	$436.63	$678.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.33 / $427.20 / $702.96	Professional		$67.33	$427.20	$702.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $308.20 / $423.44 / $485.75	Facility		$308.20	$423.44	$485.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $325.70 / $331.33 / $337.55	Facility		$325.70	$331.33	$337.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.33 / $462.29 / $625.54	Professional		$331.33	$462.29	$625.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,477.31 / $2,250.40 / $4,357.93	Facility		$1,477.31	$2,250.40	$4,357.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $314.48 / $423.23 / $582.07	Professional		$314.48	$423.23	$582.07
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $1,106.00 / $4,911.00	Facility		$591.00	$1,106.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $283.49 / $472.49 / $698.04	Professional		$283.49	$472.49	$698.04