Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.50 / $485.53 / $14,464.32	Facility		$222.50	$485.53	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $220.78 / $473.19	Professional		$141.06	$220.78	$473.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $239.18 / $741.78 / $12,000.00	Facility		$239.18	$741.78	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $228.89 / $405.08 / $1,516.65	Professional		$228.89	$405.08	$1,516.65
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 $190.88 / $279.41 / $514.16	Professional		$190.88	$279.41	$514.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $212.85 / $294.97 / $430.33	Facility		$212.85	$294.97	$430.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.15 / $337.04 / $449.33	Professional		$223.15	$337.04	$449.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.24 / $291.22 / $512.05	Professional		$51.24	$291.22	$512.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $231.22 / $326.29 / $355.10	Facility		$231.22	$326.29	$355.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.18 / $239.18 / $242.21	Facility		$239.18	$239.18	$242.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.89 / $374.67 / $458.78	Professional		$228.89	$374.67	$458.78
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 $222.82 / $314.64 / $437.14	Professional		$222.82	$314.64	$437.14
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 $217.99 / $266.58 / $509.77	Professional		$217.99	$266.58	$509.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $167.05 / $167.05 / $184.41	Professional		$167.05	$167.05	$184.41