Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.04 / $1,214.42 / $11,522.02	Facility		$261.04	$1,214.42	$11,522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.01 / $210.47 / $588.26	Professional		$109.01	$210.47	$588.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $350.25 / $1,779.82 / $3,936.16	Facility		$350.25	$1,779.82	$3,936.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $230.91 / $448.65 / $1,725.76	Professional		$230.91	$448.65	$1,725.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.44 / $777.59 / $906.00	Facility		$511.44	$777.59	$906.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.59 / $314.45 / $615.61	Professional		$193.59	$314.45	$615.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $219.48 / $361.70 / $595.96	Facility		$219.48	$361.70	$595.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.80 / $369.90 / $634.86	Professional		$220.80	$369.90	$634.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.54 / $349.84 / $616.21	Professional		$62.54	$349.84	$616.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $272.02 / $447.15 / $586.79	Facility		$272.02	$447.15	$586.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.51 / $319.44 / $350.25	Facility		$236.51	$319.44	$350.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.48 / $360.95 / $585.54	Professional		$216.48	$360.95	$585.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,154.13 / $1,778.80 / $3,404.60	Facility		$1,154.13	$1,778.80	$3,404.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $208.36 / $319.70 / $541.03	Professional		$208.36	$319.70	$541.03
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $285.51 / $355.30 / $666.97	Professional		$285.51	$355.30	$666.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $161.87 / $161.87 / $254.61	Professional		$161.87	$161.87	$254.61