Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.51 / $521.00 / $17,930.00	Facility		$241.51	$521.00	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.34 / $197.86 / $422.66	Professional		$122.34	$197.86	$422.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $922.02 / $6,603.99 / $12,632.68	Facility		$922.02	$6,603.99	$12,632.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $229.79 / $406.74 / $1,467.52	Professional		$229.79	$406.74	$1,467.52
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 $151.57 / $265.88 / $570.70	Professional		$151.57	$265.88	$570.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $162.41 / $300.30 / $2,120.86	Facility		$162.41	$300.30	$2,120.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.13 / $304.88 / $1,485.98	Professional		$165.13	$304.88	$1,485.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.91 / $248.90 / $456.61	Professional		$46.91	$248.90	$456.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $225.23 / $353.09 / $395.30	Facility		$225.23	$353.09	$395.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.19 / $263.19 / $635.97	Facility		$263.19	$263.19	$635.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.73 / $327.54 / $494.24	Professional		$213.73	$327.54	$494.24
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 $174.64 / $303.61 / $487.21	Professional		$174.64	$303.61	$487.21
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,050.00 / $6,857.00	Facility		$500.00	$1,050.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $215.50 / $296.45 / $557.66	Professional		$215.50	$296.45	$557.66