Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.37 / $440.02 / $14,464.32	Facility		$239.37	$440.02	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.30 / $239.37 / $413.82	Professional		$139.30	$239.37	$413.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,125.59 / $4,321.81 / $11,500.00	Facility		$1,125.59	$4,321.81	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $253.64 / $425.04 / $1,394.56	Professional		$253.64	$425.04	$1,394.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $934.63 / $934.63 / $1,557.08	Facility		$934.63	$934.63	$1,557.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.76 / $359.21 / $570.11	Professional		$207.76	$359.21	$570.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $197.29 / $325.94 / $1,381.54	Facility		$197.29	$325.94	$1,381.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.13 / $323.47 / $595.30	Professional		$204.13	$323.47	$595.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $278.38 / $473.95	Professional		$43.19	$278.38	$473.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $219.88 / $317.61 / $378.55	Facility		$219.88	$317.61	$378.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $248.70 / $258.20 / $541.04	Facility		$248.70	$258.20	$541.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.64 / $374.43 / $483.65	Professional		$256.64	$374.43	$483.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,802.50 / $4,319.34 / $8,267.12	Facility		$2,802.50	$4,319.34	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $245.65 / $344.16 / $450.43	Professional		$245.65	$344.16	$450.43
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $209.58 / $394.15 / $539.72	Professional		$209.58	$394.15	$539.72