Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.67 / $611.28 / $13,750.00	Facility		$299.67	$611.28	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.97 / $228.51 / $494.85	Professional		$146.97	$228.51	$494.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $145.63 / $4,318.66 / $8,788.86	Facility		$145.63	$4,318.66	$8,788.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $290.06 / $462.70 / $1,634.32	Professional		$290.06	$462.70	$1,634.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.63 / $187.63 / $312.58	Facility		$187.63	$187.63	$312.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.04 / $405.68 / $668.30	Professional		$251.04	$405.68	$668.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $204.29 / $347.30 / $703.12	Facility		$204.29	$347.30	$703.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.29 / $343.94 / $526.87	Professional		$204.29	$343.94	$526.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $301.41 / $508.76	Professional		$47.53	$301.41	$508.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $248.44 / $403.12 / $444.21	Facility		$248.44	$403.12	$444.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.63 / $297.62 / $302.99	Facility		$145.63	$297.62	$302.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.02 / $395.74 / $555.40	Professional		$281.02	$395.74	$555.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,979.36 / $4,591.92 / $8,788.86	Facility		$2,979.36	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $259.02 / $368.56 / $513.16	Professional		$259.02	$368.56	$513.16
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $271.92 / $466.06 / $638.17	Professional		$271.92	$466.06	$638.17