Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.11 / $451.50 / $13,750.00	Facility		$171.11	$451.50	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.99 / $143.80 / $329.47	Professional		$63.99	$143.80	$329.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $228.50 / $1,129.34 / $2,206.01	Facility		$228.50	$1,129.34	$2,206.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $131.60 / $316.98 / $1,241.35	Professional		$131.60	$316.98	$1,241.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.68 / $217.13 / $446.22	Professional		$119.68	$217.13	$446.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $132.50 / $228.86 / $422.64	Facility		$132.50	$228.86	$422.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.71 / $231.94 / $425.79	Professional		$132.71	$231.94	$425.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $227.00 / $410.94	Professional		$40.90	$227.00	$410.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $152.76 / $305.06 / $335.00	Facility		$152.76	$305.06	$335.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $224.24 / $224.24 / $228.50	Facility		$224.24	$224.24	$228.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.60 / $234.62 / $418.85	Professional		$131.60	$234.62	$418.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $732.75 / $1,129.34 / $2,161.55	Facility		$732.75	$1,129.34	$2,161.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $124.28 / $227.42 / $387.00	Professional		$124.28	$227.42	$387.00
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 $173.23 / $249.60 / $477.92	Professional		$173.23	$249.60	$477.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $103.11 / $103.11 / $186.77	Professional		$103.11	$103.11	$186.77