Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.88 / $398.29 / $12,214.00	Facility		$173.88	$398.29	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.23 / $161.06 / $372.45	Professional		$125.23	$161.06	$372.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $64.09 / $2,141.39 / $4,357.93	Facility		$64.09	$2,141.39	$4,357.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $213.28 / $341.84 / $3,020.93	Professional		$213.28	$341.84	$3,020.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.84 / $87.84 / $146.33	Facility		$87.84	$87.84	$146.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.09 / $298.36 / $469.34	Professional		$185.09	$298.36	$469.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $133.85 / $286.52 / $476.25	Facility		$133.85	$286.52	$476.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.94 / $276.08 / $383.43	Professional		$137.94	$276.08	$383.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.01 / $263.85 / $434.97	Professional		$41.01	$263.85	$434.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $211.05 / $294.75 / $320.26	Facility		$211.05	$294.75	$320.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.09 / $209.29 / $218.45	Facility		$64.09	$209.29	$218.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.50 / $309.52 / $409.24	Professional		$216.50	$309.52	$409.24
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 $195.19 / $283.22 / $380.33	Professional		$195.19	$283.22	$380.33
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 $198.44 / $341.65 / $479.87	Professional		$198.44	$341.65	$479.87