Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.05 / $766.26 / $14,464.32	Facility		$241.05	$766.26	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.32 / $272.77 / $673.36	Professional		$127.32	$272.77	$673.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $257.14 / $2,689.32 / $5,488.32	Facility		$257.14	$2,689.32	$5,488.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $239.25 / $589.62 / $2,558.25	Professional		$239.25	$589.62	$2,558.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.00 / $479.00 / $520.22	Facility		$479.00	$479.00	$520.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.01 / $353.19 / $794.49	Professional		$157.01	$353.19	$794.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $167.69 / $326.69 / $755.15	Facility		$167.69	$326.69	$755.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.04 / $328.87 / $720.24	Professional		$170.04	$328.87	$720.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.93 / $291.69 / $662.17	Professional		$44.93	$291.69	$662.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $266.25 / $534.29 / $594.96	Facility		$266.25	$534.29	$594.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.14 / $401.81 / $405.82	Facility		$257.14	$401.81	$405.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.73 / $404.74 / $746.98	Professional		$213.73	$404.74	$746.98
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 $173.71 / $409.79 / $732.42	Professional		$173.71	$409.79	$732.42
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $878.22 / $3,740.00	Facility		$500.00	$878.22	$3,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $337.50 / $464.79 / $821.69	Professional		$337.50	$464.79	$821.69