Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.48 / $372.86 / $14,464.32	Facility		$169.48	$372.86	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.75 / $132.58 / $270.66	Professional		$81.75	$132.58	$270.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $89.07 / $1,868.90 / $3,814.01	Facility		$89.07	$1,868.90	$3,814.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $131.52 / $280.97 / $1,075.04	Professional		$131.52	$280.97	$1,075.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.88 / $421.10 / $731.00	Facility		$113.88	$421.10	$731.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.30 / $196.18 / $383.57	Professional		$116.30	$196.18	$383.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $116.65 / $205.10 / $361.00	Facility		$116.65	$205.10	$361.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.75 / $206.88 / $340.90	Professional		$122.75	$206.88	$340.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $201.25 / $353.18	Professional		$36.00	$201.25	$353.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $144.61 / $247.59 / $292.79	Facility		$144.61	$247.59	$292.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.64 / $194.34 / $199.71	Facility		$70.64	$194.34	$199.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.52 / $223.73 / $366.07	Professional		$131.52	$223.73	$366.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,292.92 / $1,992.71 / $3,814.01	Facility		$1,292.92	$1,992.71	$3,814.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $126.59 / $198.20 / $338.24	Professional		$126.59	$198.20	$338.24
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 $178.45 / $215.80 / $416.86	Professional		$178.45	$215.80	$416.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.28 / $95.28 / $157.24	Professional		$95.28	$95.28	$157.24