Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.94 / $928.78 / $14,464.32	Facility		$503.94	$928.78	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.98 / $491.56 / $940.38	Professional		$277.98	$491.56	$940.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $143.47 / $825.07 / $1,825.73	Facility		$143.47	$825.07	$1,825.73
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $450.42 / $771.09 / $2,756.33	Professional		$450.42	$771.09	$2,756.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.24 / $379.24 / $379.24	Facility		$379.24	$379.24	$379.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.49 / $552.51 / $1,023.45	Professional		$328.49	$552.51	$1,023.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $193.47 / $441.83 / $823.59	Facility		$193.47	$441.83	$823.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.69 / $452.46 / $832.05	Professional		$194.69	$452.46	$832.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.67 / $158.62 / $621.92	Professional		$35.67	$158.62	$621.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $441.00 / $614.66 / $661.29	Facility		$441.00	$614.66	$661.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.47 / $431.71 / $451.06	Facility		$143.47	$431.71	$451.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $451.06 / $717.55 / $895.31	Professional		$451.06	$717.55	$895.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $535.33 / $825.55 / $1,579.18	Facility		$535.33	$825.55	$1,579.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $429.66 / $638.32 / $854.74	Professional		$429.66	$638.32	$854.74
United Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $414.00 / $5,793.00	Facility		$118.00	$414.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.85 / $517.44 / $914.76	Professional		$374.85	$517.44	$914.76