Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.05 / $385.60 / $14,464.32	Facility		$202.05	$385.60	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.86 / $156.94 / $317.02	Professional		$96.86	$156.94	$317.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $216.62 / $577.67 / $1,300.00	Facility		$216.62	$577.67	$1,300.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $156.97 / $308.81 / $1,166.16	Professional		$156.97	$308.81	$1,166.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.34 / $564.00 / $906.00	Facility		$166.34	$564.00	$906.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.51 / $222.07 / $417.33	Professional		$141.51	$222.07	$417.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $141.66 / $229.45 / $366.04	Facility		$141.66	$229.45	$366.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $232.70 / $368.81	Professional		$144.00	$232.70	$368.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $251.08 / $441.36	Professional		$45.17	$251.08	$441.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $178.51 / $276.17 / $317.58	Facility		$178.51	$276.17	$317.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.88 / $212.00 / $216.62	Facility		$108.88	$212.00	$216.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.97 / $260.20 / $397.07	Professional		$156.97	$260.20	$397.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $367.90 / $567.35 / $1,085.27	Facility		$367.90	$567.35	$1,085.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $151.07 / $221.01 / $366.49	Professional		$151.07	$221.01	$366.49
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 $183.49 / $228.28 / $451.85	Professional		$183.49	$228.28	$451.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $118.40 / $118.40 / $172.07	Professional		$118.40	$118.40	$172.07