Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.32 / $631.32 / $17,930.00	Facility		$368.32	$631.32	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.30 / $281.24 / $585.85	Professional		$177.30	$281.24	$585.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $135.36 / $825.07 / $1,579.18	Facility		$135.36	$825.07	$1,579.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $328.02 / $565.57 / $1,852.58	Professional		$328.02	$565.57	$1,852.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.45 / $293.45 / $479.00	Facility		$293.45	$293.45	$479.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.79 / $381.73 / $722.40	Professional		$237.79	$381.73	$722.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $149.69 / $307.58 / $606.40	Facility		$149.69	$307.58	$606.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.63 / $331.59 / $601.10	Professional		$150.63	$331.59	$601.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.72 / $307.32 / $578.16	Professional		$57.72	$307.32	$578.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $329.81 / $450.64 / $486.42	Facility		$329.81	$450.64	$486.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.36 / $321.63 / $331.78	Facility		$135.36	$321.63	$331.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.78 / $500.98 / $621.21	Professional		$331.78	$500.98	$621.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $602.39 / $825.55 / $1,579.18	Facility		$602.39	$825.55	$1,579.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $290.14 / $461.74 / $636.03	Professional		$290.14	$461.74	$636.03
United Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $497.00 / $5,793.00	Facility		$118.00	$497.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $276.80 / $366.76 / $664.32	Professional		$276.80	$366.76	$664.32