Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.19 / $747.06 / $11,522.02	Facility		$347.19	$747.06	$11,522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.13 / $248.83 / $508.65	Professional		$163.13	$248.83	$508.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $412.67 / $1,779.82 / $3,936.16	Facility		$412.67	$1,779.82	$3,936.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $265.99 / $579.36 / $2,223.67	Professional		$265.99	$579.36	$2,223.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $421.10 / $731.00 / $777.59	Facility		$421.10	$731.00	$777.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.54 / $406.31 / $799.61	Professional		$240.54	$406.31	$799.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $267.00 / $427.30 / $725.56	Facility		$267.00	$427.30	$725.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $268.80 / $437.09 / $780.32	Professional		$268.80	$437.09	$780.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.96 / $235.51 / $665.56	Professional		$34.96	$235.51	$665.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $320.37 / $520.73 / $605.01	Facility		$320.37	$520.73	$605.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.51 / $406.79 / $412.67	Facility		$236.51	$406.79	$412.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.02 / $465.29 / $756.44	Professional		$266.02	$465.29	$756.44
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 $255.02 / $414.88 / $698.92	Professional		$255.02	$414.88	$698.92
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 $350.86 / $450.01 / $857.85	Professional		$350.86	$450.01	$857.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $205.34 / $205.34 / $333.98	Professional		$205.34	$205.34	$333.98