Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.35 / $543.79 / $13,809.00	Facility		$261.35	$543.79	$13,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.91 / $214.08 / $431.31	Professional		$145.91	$214.08	$431.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $137.81 / $8,327.75 / $16,947.71	Facility		$137.81	$8,327.75	$16,947.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $269.67 / $475.78 / $1,672.80	Professional		$269.67	$475.78	$1,672.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.16 / $170.16 / $283.48	Facility		$170.16	$170.16	$283.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.27 / $375.52 / $691.86	Professional		$225.27	$375.52	$691.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $179.94 / $327.08 / $724.68	Facility		$179.94	$327.08	$724.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.45 / $325.18 / $486.91	Professional		$184.45	$325.18	$486.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.80 / $377.42 / $620.39	Professional		$58.80	$377.42	$620.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $238.20 / $374.78 / $466.32	Facility		$238.20	$374.78	$466.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.81 / $315.29 / $318.07	Facility		$137.81	$315.29	$318.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.62 / $381.55 / $583.04	Professional		$265.62	$381.55	$583.04
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 $229.49 / $345.54 / $538.70	Professional		$229.49	$345.54	$538.70
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 $258.30 / $423.86 / $707.10	Professional		$258.30	$423.86	$707.10