Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.52 / $909.13 / $14,464.32	Facility		$419.52	$909.13	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.28 / $293.55 / $607.03	Professional		$197.28	$293.55	$607.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $433.24 / $4,591.92 / $9,102.00	Facility		$433.24	$4,591.92	$9,102.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $318.72 / $621.42 / $2,345.12	Professional		$318.72	$621.42	$2,345.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.70 / $428.29 / $731.00	Facility		$281.70	$428.29	$731.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.88 / $460.95 / $837.29	Professional		$285.88	$460.95	$837.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $287.52 / $477.18 / $803.01	Facility		$287.52	$477.18	$803.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $296.73 / $485.91 / $754.68	Professional		$296.73	$485.91	$754.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.26 / $310.96 / $678.09	Professional		$45.26	$310.96	$678.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $290.08 / $521.37 / $635.16	Facility		$290.08	$521.37	$635.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.09 / $423.56 / $433.24	Facility		$173.09	$423.56	$433.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.13 / $534.67 / $794.14	Professional		$319.13	$534.67	$794.14
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 $306.77 / $448.80 / $733.75	Professional		$306.77	$448.80	$733.75
United Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $887.00 / $4,611.00	Facility		$350.00	$887.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $380.52 / $471.12 / $911.45	Professional		$380.52	$471.12	$911.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.44 / $245.44 / $349.22	Professional		$245.44	$245.44	$349.22