Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.42 / $763.87 / $14,464.32	Facility		$382.42	$763.87	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.16 / $382.42 / $825.89	Professional		$265.16	$382.42	$825.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $358.29 / $4,269.18 / $8,712.50	Facility		$358.29	$4,269.18	$8,712.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $379.06 / $622.29 / $1,992.38	Professional		$379.06	$622.29	$1,992.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $337.88 / $337.88 / $337.88	Facility		$337.88	$337.88	$337.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.70 / $498.58 / $796.01	Professional		$288.70	$498.58	$796.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $248.93 / $463.67 / $723.25	Facility		$248.93	$463.67	$723.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $250.57 / $451.80 / $705.31	Professional		$250.57	$451.80	$705.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $236.92 / $516.21	Professional		$50.36	$236.92	$516.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $371.85 / $519.17 / $572.17	Facility		$371.85	$519.17	$572.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.20 / $358.29 / $392.30	Facility		$126.20	$358.29	$392.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.24 / $562.00 / $711.17	Professional		$369.24	$562.00	$711.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,953.48 / $4,552.03 / $8,712.50	Facility		$2,953.48	$4,552.03	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $356.20 / $512.74 / $694.23	Professional		$356.20	$512.74	$694.23
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $339.50 / $483.38 / $818.73	Professional		$339.50	$483.38	$818.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.10 / $258.27 / $290.24	Professional		$218.10	$258.27	$290.24