Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.68 / $880.19 / $18,711.00	Facility		$454.68	$880.19	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.31 / $370.87 / $795.70	Professional		$235.31	$370.87	$795.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $187.45 / $1,646.32 / $3,151.02	Facility		$187.45	$1,646.32	$3,151.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $395.56 / $639.11 / $3,340.19	Professional		$395.56	$639.11	$3,340.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $403.00 / $403.00 / $479.00	Facility		$403.00	$403.00	$479.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.70 / $462.53 / $870.00	Professional		$285.70	$462.53	$870.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $205.60 / $408.13 / $777.70	Facility		$205.60	$408.13	$777.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.88 / $420.58 / $767.27	Professional		$206.88	$420.58	$767.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $125.22 / $602.72	Professional		$28.98	$125.22	$602.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $419.31 / $571.82 / $620.91	Facility		$419.31	$571.82	$620.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.45 / $406.34 / $419.53	Facility		$187.45	$406.34	$419.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.63 / $577.08 / $784.11	Professional		$401.63	$577.08	$784.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,195.59 / $1,646.32 / $3,151.02	Facility		$1,195.59	$1,646.32	$3,151.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $331.25 / $568.49 / $757.56	Professional		$331.25	$568.49	$757.56
United Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $648.00 / $4,611.00	Facility		$332.00	$648.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $363.49 / $488.93 / $868.24	Professional		$363.49	$488.93	$868.24