Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.28 / $763.63 / $17,930.00	Facility		$450.28	$763.63	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.76 / $480.35 / $906.03	Professional		$275.76	$480.35	$906.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $786.25 / $10,956.90 / $20,959.32	Facility		$786.25	$10,956.90	$20,959.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $396.40 / $680.29 / $3,170.12	Professional		$396.40	$680.29	$3,170.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.32 / $382.32 / $479.00	Facility		$382.32	$382.32	$479.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.12 / $504.80 / $902.89	Professional		$298.12	$504.80	$902.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $195.05 / $667.04 / $1,394.19	Facility		$195.05	$667.04	$1,394.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $196.26 / $637.49 / $930.33	Professional		$196.26	$637.49	$930.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $405.37 / $717.60	Professional		$73.09	$405.37	$717.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $413.60 / $576.21 / $1,131.19	Facility		$413.60	$576.21	$1,131.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $388.67 / $388.67 / $402.16	Facility		$388.67	$388.67	$402.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.16 / $591.33 / $754.45	Professional		$402.16	$591.33	$754.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,105.06 / $10,950.64 / $20,959.32	Facility		$7,105.06	$10,950.64	$20,959.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $338.65 / $546.63 / $779.24	Professional		$338.65	$546.63	$779.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $2,155.00 / $11,941.00	Facility		$1,620.00	$2,155.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.86 / $593.52 / $841.93	Professional		$374.86	$593.52	$841.93