Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.40 / $536.26 / $11,522.02	Facility		$234.40	$536.26	$11,522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.64 / $182.56 / $447.79	Professional		$110.64	$182.56	$447.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $137.81 / $1,874.13 / $3,814.01	Facility		$137.81	$1,874.13	$3,814.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $220.75 / $388.90 / $1,384.24	Professional		$220.75	$388.90	$1,384.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.22 / $175.22 / $291.91	Facility		$175.22	$175.22	$291.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.37 / $334.31 / $568.74	Professional		$200.37	$334.31	$568.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $165.34 / $282.22 / $524.55	Facility		$165.34	$282.22	$524.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.61 / $282.22 / $455.94	Professional		$172.61	$282.22	$455.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.22 / $275.32 / $488.31	Professional		$43.22	$275.32	$488.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $214.67 / $348.46 / $378.76	Facility		$214.67	$348.46	$378.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.81 / $253.68 / $256.83	Facility		$137.81	$253.68	$256.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.75 / $318.33 / $470.79	Professional		$220.75	$318.33	$470.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,292.92 / $1,992.71 / $3,814.01	Facility		$1,292.92	$1,992.71	$3,814.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $201.94 / $294.12 / $434.99	Professional		$201.94	$294.12	$434.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,881.26 / $2,516.44 / $4,611.00	Facility		$1,881.26	$2,516.44	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $234.96 / $396.96 / $571.15	Professional		$234.96	$396.96	$571.15