Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.58 / $485.17 / $14,464.32	Facility		$174.58	$485.17	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.89 / $155.37 / $373.03	Professional		$88.89	$155.37	$373.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $143.80 / $6,207.20 / $12,667.56	Facility		$143.80	$6,207.20	$12,667.56
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $6,634.41 / $9,933.33 / $19,217.09	Facility	50	$6,634.41	$9,933.33	$19,217.09
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $172.21 / $352.72 / $1,542.60	Professional		$172.21	$352.72	$1,542.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.14 / $291.14 / $734.00	Facility		$291.14	$291.14	$734.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.16 / $218.91 / $521.79	Professional		$115.16	$218.91	$521.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $122.59 / $213.75 / $442.17	Facility		$122.59	$213.75	$442.17
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $5,752.58 / $6,328.28 / $15,568.54	Facility	50	$5,752.58	$6,328.28	$15,568.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.26 / $215.64 / $432.32	Professional		$124.26	$215.64	$432.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $253.53 / $444.13	Professional		$45.46	$253.53	$444.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $185.59 / $320.93 / $359.79	Facility		$185.59	$320.93	$359.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.80 / $243.71 / $245.41	Facility		$143.80	$243.71	$245.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.04 / $250.71 / $452.67	Professional		$155.04	$250.71	$452.67
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 Facility Modifier 50 Low / Median / High Price $6,441.32 / $9,927.65 / $19,001.34	Facility	50	$6,441.32	$9,927.65	$19,001.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $127.05 / $248.56 / $442.92	Professional		$127.05	$248.56	$442.92
United Facility/Professional Facility Modifier Low / Median / High Price $483.00 / $8,050.71 / $13,346.42	Facility		$483.00	$8,050.71	$13,346.42
United Facility/Professional Professional Modifier Low / Median / High Price $133.27 / $237.81 / $476.54	Professional		$133.27	$237.81	$476.54