Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.80 / $354.80 / $354.80	Facility		$354.80	$354.80	$354.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.73 / $354.80 / $420.84	Professional		$300.73	$354.80	$420.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $659.58 / $1,465.35 / $2,006.67	Facility		$659.58	$1,465.35	$2,006.67
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $447.22 / $761.71 / $2,784.75	Professional		$447.22	$761.71	$2,784.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.97 / $508.97 / $508.97	Professional		$508.97	$508.97	$508.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $498.53 / $1,271.39 / $2,278.41	Facility		$498.53	$1,271.39	$2,278.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,113.30 / $1,113.30 / $1,113.30	Professional		$1,113.30	$1,113.30	$1,113.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $422.49 / $531.98 / $648.55	Facility		$422.49	$531.98	$648.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $438.50 / $438.50 / $442.38	Facility		$438.50	$438.50	$442.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $483.52 / $749.23 / $907.31	Professional		$483.52	$749.23	$907.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,157.52 / $1,546.49 / $2,905.51	Facility		$1,157.52	$1,546.49	$2,905.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $447.22 / $629.66 / $838.29	Professional		$447.22	$629.66	$838.29
United Facility/Professional Professional Modifier Low / Median / High Price $296.95 / $386.66 / $956.64	Professional		$296.95	$386.66	$956.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.00 / $131.00 / $131.00	Professional		$131.00	$131.00	$131.00