Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.94 / $339.26 / $14,464.32	Facility		$162.94	$339.26	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.13 / $137.41 / $256.47	Professional		$112.13	$137.41	$256.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $620.28 / $6,603.99 / $12,632.68	Facility		$620.28	$6,603.99	$12,632.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $159.46 / $254.54 / $947.48	Professional		$159.46	$254.54	$947.48
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $259.91 / $358.26 / $525.00	Professional	50	$259.91	$358.26	$525.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.00 / $479.00 / $2,876.24	Facility		$479.00	$479.00	$2,876.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.61 / $177.55 / $358.98	Professional		$103.61	$177.55	$358.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $115.62 / $204.05 / $2,120.86	Facility		$115.62	$204.05	$2,120.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.44 / $204.05 / $1,485.98	Professional		$121.44	$204.05	$1,485.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $203.66 / $351.53	Professional		$36.11	$203.66	$351.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $163.28 / $227.13 / $241.60	Facility		$163.28	$227.13	$241.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.19 / $157.19 / $635.97	Facility		$157.19	$157.19	$635.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.52 / $212.50 / $298.22	Professional		$144.52	$212.50	$298.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,282.39 / $6,600.21 / $12,632.68	Facility		$4,282.39	$6,600.21	$12,632.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $119.20 / $205.67 / $300.16	Professional		$119.20	$205.67	$300.16
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 $150.50 / $189.83 / $335.01	Professional		$150.50	$189.83	$335.01