Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.00 / $340.78 / $17,930.00	Facility		$186.00	$340.78	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.75 / $130.90 / $270.27	Professional		$93.75	$130.90	$270.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $74.09 / $2,689.32 / $5,488.32	Facility		$74.09	$2,689.32	$5,488.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $163.55 / $277.27 / $1,033.13	Professional		$163.55	$277.27	$1,033.13
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $253.86 / $330.24 / $510.00	Professional	50	$253.86	$330.24	$510.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.90 / $160.90 / $734.00	Facility		$160.90	$160.90	$734.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.25 / $193.51 / $372.79	Professional		$120.25	$193.51	$372.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $82.08 / $153.40 / $304.14	Facility		$82.08	$153.40	$304.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.60 / $164.90 / $302.44	Professional		$82.60	$164.90	$302.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $152.09 / $264.27	Professional		$27.16	$152.09	$264.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.62 / $226.46 / $243.21	Facility		$165.62	$226.46	$243.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.09 / $160.36 / $165.89	Facility		$74.09	$160.36	$165.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.89 / $255.46 / $312.62	Professional		$165.89	$255.46	$312.62
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 $147.84 / $232.90 / $306.20	Professional		$147.84	$232.90	$306.20
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 $143.01 / $190.97 / $347.57	Professional		$143.01	$190.97	$347.57