Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.39 / $534.69 / $14,464.32	Facility		$302.39	$534.69	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.83 / $195.51 / $393.39	Professional		$144.83	$195.51	$393.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $127.66 / $825.07 / $1,579.18	Facility		$127.66	$825.07	$1,579.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $266.88 / $438.96 / $1,740.45	Professional		$266.88	$438.96	$1,740.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.88 / $278.88 / $479.00	Facility		$278.88	$278.88	$479.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $307.51 / $580.19	Professional		$189.00	$307.51	$580.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $142.28 / $255.51 / $503.43	Facility		$142.28	$255.51	$503.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.16 / $275.00 / $503.43	Professional		$143.16	$275.00	$503.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.70 / $282.91 / $491.87	Professional		$49.70	$282.91	$491.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $275.68 / $381.23 / $408.70	Facility		$275.68	$381.23	$408.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.66 / $269.08 / $278.77	Facility		$127.66	$269.08	$278.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.52 / $381.55 / $514.60	Professional		$265.52	$381.55	$514.60
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 $218.99 / $360.05 / $503.13	Professional		$218.99	$360.05	$503.13
United Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $414.00 / $5,793.00	Facility		$118.00	$414.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.37 / $308.88 / $565.27	Professional		$230.37	$308.88	$565.27