Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.24 / $2,769.52 / $9,424.79	Facility		$219.24	$2,769.52	$9,424.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.28 / $160.01 / $319.13	Professional		$106.28	$160.01	$319.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $129.11 / $4,306.60 / $8,788.86	Facility		$129.11	$4,306.60	$8,788.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $167.79 / $335.68 / $1,265.52	Professional		$167.79	$335.68	$1,265.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.29 / $252.83 / $644.92	Facility		$166.29	$252.83	$644.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.47 / $241.65 / $453.77	Professional		$151.47	$241.65	$453.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $249.33 / $413.83	Facility		$153.00	$249.33	$413.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.69 / $257.82 / $407.95	Professional		$154.69	$257.82	$407.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.96 / $228.31 / $409.24	Professional		$40.96	$228.31	$409.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $156.30 / $226.41 / $332.91	Facility		$156.30	$226.41	$332.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.43 / $229.67 / $233.98	Facility		$97.43	$229.67	$233.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.79 / $280.73 / $428.90	Professional		$167.79	$280.73	$428.90
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 $160.31 / $236.13 / $396.29	Professional		$160.31	$236.13	$396.29
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $1,120.00 / $6,857.00	Facility		$629.00	$1,120.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.99 / $247.95 / $487.17	Professional		$193.99	$247.95	$487.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.53 / $130.53 / $189.33	Professional		$130.53	$130.53	$189.33