Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.50 / $433.43 / $14,464.32	Facility		$199.50	$433.43	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.25 / $199.50 / $416.51	Professional		$137.25	$199.50	$416.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $215.63 / $681.22 / $12,000.00	Facility		$215.63	$681.22	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $209.93 / $369.35 / $1,389.28	Professional		$209.93	$369.35	$1,389.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $421.10 / $731.00 / $731.00	Facility		$421.10	$731.00	$731.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.98 / $255.16 / $465.81	Professional		$170.98	$255.16	$465.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $194.85 / $260.39 / $388.91	Facility		$194.85	$260.39	$388.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.59 / $302.58 / $402.16	Professional		$198.59	$302.58	$402.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $240.30 / $422.77	Professional		$42.49	$240.30	$422.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $222.46 / $303.36 / $319.58	Facility		$222.46	$303.36	$319.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $215.63 / $215.63 / $217.99	Facility		$215.63	$215.63	$217.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.93 / $338.60 / $418.89	Professional		$209.93	$338.60	$418.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $580.97 / $580.97 / $731.93	Facility		$580.97	$580.97	$731.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $204.56 / $290.70 / $395.82	Professional		$204.56	$290.70	$395.82
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 $199.53 / $246.17 / $457.66	Professional		$199.53	$246.17	$457.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $153.41 / $153.41 / $165.25	Professional		$153.41	$153.41	$165.25