Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.47 / $793.15 / $13,809.00	Facility		$199.47	$793.15	$13,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $264.25 / $746.23	Professional		$121.35	$264.25	$746.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $417.54 / $4,319.34 / $11,181.80	Facility		$417.54	$4,319.34	$11,181.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $108.53 / $298.04 / $1,320.85	Professional		$108.53	$298.04	$1,320.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $1,557.08	Facility		$625.25	$761.81	$1,557.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.20 / $244.38 / $474.40	Professional		$118.20	$244.38	$474.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $173.25 / $369.46 / $1,168.50	Facility		$173.25	$369.46	$1,168.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $355.82 / $774.74	Professional		$152.63	$355.82	$774.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.69 / $253.27 / $449.44	Professional		$44.69	$253.27	$449.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $253.00 / $308.20 / $530.64	Facility		$253.00	$308.20	$530.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.30 / $210.22 / $1,144.67	Facility		$204.30	$210.22	$1,144.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.87 / $215.27 / $400.25	Professional		$102.87	$215.27	$400.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,153.55 / $4,319.34 / $8,267.12	Facility		$3,153.55	$4,319.34	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $96.93 / $208.36 / $413.17	Professional		$96.93	$208.36	$413.17
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $296.39 / $382.20 / $676.13	Professional		$296.39	$382.20	$676.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.03 / $127.82 / $175.32	Professional		$64.03	$127.82	$175.32