Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.22 / $461.63 / $17,930.00	Facility		$242.22	$461.63	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.37 / $157.85 / $316.50	Professional		$117.37	$157.85	$316.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $223.02 / $2,869.13 / $9,102.00	Facility		$223.02	$2,869.13	$9,102.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $213.90 / $352.16 / $1,390.73	Professional		$213.90	$352.16	$1,390.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.28 / $215.28 / $479.00	Facility		$215.28	$215.28	$479.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.22 / $247.03 / $493.04	Professional		$152.22	$247.03	$493.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $109.83 / $206.42 / $415.38	Facility		$109.83	$206.42	$415.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.52 / $220.63 / $404.06	Professional		$110.52	$220.63	$404.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $230.21 / $400.92	Professional		$40.60	$230.21	$400.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.60 / $306.86 / $326.95	Facility		$218.60	$306.86	$326.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.05 / $215.18 / $223.02	Facility		$99.05	$215.18	$223.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.88 / $307.93 / $414.30	Professional		$212.88	$307.93	$414.30
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 $175.56 / $291.04 / $403.38	Professional		$175.56	$291.04	$403.38
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 $179.79 / $244.33 / $455.58	Professional		$179.79	$244.33	$455.58