Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.20 / $966.85 / $17,100.00	Facility		$431.20	$966.85	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.15 / $352.03 / $868.04	Professional		$212.15	$352.03	$868.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $257.14 / $6,207.20 / $12,667.56	Facility		$257.14	$6,207.20	$12,667.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $403.63 / $764.97 / $3,178.28	Professional		$403.63	$764.97	$3,178.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $535.54 / $535.54 / $1,031.00	Facility		$535.54	$535.54	$1,031.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.18 / $498.61 / $1,056.53	Professional		$285.18	$498.61	$1,056.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $265.52 / $458.34 / $948.17	Facility		$265.52	$458.34	$948.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.39 / $469.66 / $888.60	Professional		$270.39	$469.66	$888.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.16 / $312.37 / $821.31	Professional		$37.16	$312.37	$821.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $434.42 / $679.99 / $743.70	Facility		$434.42	$679.99	$743.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.14 / $496.04 / $507.27	Facility		$257.14	$496.04	$507.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.71 / $599.03 / $929.85	Professional		$383.71	$599.03	$929.85
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 $315.55 / $542.77 / $915.53	Professional		$315.55	$542.77	$915.53
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 $437.84 / $591.17 / $1,034.56	Professional		$437.84	$591.17	$1,034.56