Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.54 / $606.51 / $17,930.00	Facility		$181.54	$606.51	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $195.06 / $404.78	Professional		$85.67	$195.06	$404.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $225.96 / $2,689.32 / $5,488.32	Facility		$225.96	$2,689.32	$5,488.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $178.36 / $461.25 / $1,939.05	Professional		$178.36	$461.25	$1,939.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $449.73 / $449.73 / $479.00	Facility		$449.73	$449.73	$479.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.98 / $278.87 / $650.16	Professional		$115.98	$278.87	$650.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $121.62 / $248.62 / $599.05	Facility		$121.62	$248.62	$599.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.53 / $251.24 / $567.91	Professional		$122.53	$251.24	$567.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.16 / $206.24 / $534.24	Professional		$37.16	$206.24	$534.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $194.56 / $421.43 / $485.75	Facility		$194.56	$421.43	$485.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.96 / $331.60 / $331.60	Facility		$225.96	$331.60	$331.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.57 / $325.79 / $612.69	Professional		$160.57	$325.79	$612.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,860.50 / $2,805.46 / $5,488.32	Facility		$1,860.50	$2,805.46	$5,488.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $130.75 / $310.95 / $597.98	Professional		$130.75	$310.95	$597.98
United Facility/Professional Facility Modifier Low / Median / High Price $496.00 / $1,120.00 / $6,857.00	Facility		$496.00	$1,120.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $260.52 / $366.87 / $661.32	Professional		$260.52	$366.87	$661.32