Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.43 / $564.29 / $17,100.00	Facility		$247.43	$564.29	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.23 / $212.89 / $410.22	Professional		$123.23	$212.89	$410.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $175.91 / $4,062.29 / $8,267.12	Facility		$175.91	$4,062.29	$8,267.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $228.09 / $434.58 / $1,570.32	Professional		$228.09	$434.58	$1,570.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.21 / $221.21 / $368.53	Facility		$221.21	$221.21	$368.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.54 / $367.81 / $648.79	Professional		$212.54	$367.81	$648.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $182.59 / $315.49 / $699.37	Facility		$182.59	$315.49	$699.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.31 / $312.45 / $518.61	Professional		$183.31	$312.45	$518.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.76 / $301.43 / $513.88	Professional		$47.76	$301.43	$513.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $221.45 / $389.35 / $427.46	Facility		$221.45	$389.35	$427.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.91 / $289.01 / $291.57	Facility		$175.91	$289.01	$291.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.78 / $340.89 / $535.11	Professional		$235.78	$340.89	$535.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,153.55 / $4,319.34 / $8,267.12	Facility		$3,153.55	$4,319.34	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $212.17 / $326.33 / $493.81	Professional		$212.17	$326.33	$493.81
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 $256.52 / $408.10 / $619.86	Professional		$256.52	$408.10	$619.86