Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.42 / $801.00 / $18,711.00	Facility		$369.42	$801.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.62 / $323.19 / $828.54	Professional		$211.62	$323.19	$828.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $254.58 / $6,207.20 / $12,667.56	Facility		$254.58	$6,207.20	$12,667.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $361.93 / $632.91 / $2,646.53	Professional		$361.93	$632.91	$2,646.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.80 / $524.80 / $734.00	Facility		$524.80	$524.80	$734.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.43 / $415.80 / $898.97	Professional		$235.43	$415.80	$898.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $248.58 / $414.20 / $808.50	Facility		$248.58	$414.20	$808.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $249.41 / $420.74 / $763.78	Professional		$249.41	$420.74	$763.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $283.56 / $630.03	Professional		$44.92	$283.56	$630.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $369.84 / $547.39 / $616.40	Facility		$369.84	$547.39	$616.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.58 / $414.04 / $420.44	Facility		$254.58	$414.04	$420.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.13 / $500.94 / $771.32	Professional		$326.13	$500.94	$771.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,294.21 / $6,618.43 / $12,667.56	Facility		$4,294.21	$6,618.43	$12,667.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $266.11 / $439.98 / $754.87	Professional		$266.11	$439.98	$754.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,862.00 / $10,522.00	Facility		$1,224.00	$1,862.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $370.48 / $481.41 / $837.84	Professional		$370.48	$481.41	$837.84