Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.78 / $446.29 / $17,930.00	Facility		$240.78	$446.29	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.38 / $169.28 / $383.86	Professional		$130.38	$169.28	$383.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $93.55 / $6,207.20 / $12,667.56	Facility		$93.55	$6,207.20	$12,667.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $210.67 / $371.26 / $1,341.75	Professional		$210.67	$371.26	$1,341.75
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $334.42 / $449.43 / $675.00	Professional	50	$334.42	$449.43	$675.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.34 / $205.34 / $479.00	Facility		$205.34	$205.34	$479.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.88 / $261.37 / $483.06	Professional		$156.88	$261.37	$483.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $104.75 / $210.44 / $396.55	Facility		$104.75	$210.44	$396.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.41 / $216.67 / $396.03	Professional		$105.41	$216.67	$396.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.69 / $229.78 / $400.54	Professional		$40.69	$229.78	$400.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $216.58 / $296.81 / $315.57	Facility		$216.58	$296.81	$315.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.55 / $206.57 / $215.25	Facility		$93.55	$206.57	$215.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.25 / $336.77 / $417.10	Professional		$215.25	$336.77	$417.10
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 $198.66 / $303.63 / $394.44	Professional		$198.66	$303.63	$394.44
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 $187.32 / $249.76 / $441.54	Professional		$187.32	$249.76	$441.54