Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.05 / $724.91 / $7,984.74	Facility		$183.05	$724.91	$7,984.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.68 / $183.61 / $421.57	Professional		$109.68	$183.61	$421.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $236.51 / $1,732.01 / $3,404.60	Facility		$236.51	$1,732.01	$3,404.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $157.33 / $341.66 / $1,376.88	Professional		$157.33	$341.66	$1,376.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.46 / $187.46 / $285.02	Facility		$187.46	$187.46	$285.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.47 / $249.73 / $493.79	Professional		$140.47	$249.73	$493.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $163.00 / $272.50 / $486.20	Facility		$163.00	$272.50	$486.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.34 / $281.16 / $477.07	Professional		$164.34	$281.16	$477.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $238.67 / $473.38	Professional		$47.50	$238.67	$473.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $178.94 / $320.91 / $390.32	Facility		$178.94	$320.91	$390.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.72 / $254.09 / $255.04	Facility		$148.72	$254.09	$255.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.33 / $274.22 / $466.19	Professional		$157.33	$274.22	$466.19
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 $151.07 / $260.11 / $430.34	Professional		$151.07	$260.11	$430.34
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 $233.10 / $308.55 / $557.51	Professional		$233.10	$308.55	$557.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $118.76 / $118.76 / $206.76	Professional		$118.76	$118.76	$206.76