Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.25 / $469.66 / $14,464.32	Facility		$235.25	$469.66	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.12 / $235.25 / $473.45	Professional		$136.12	$235.25	$473.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $622.12 / $4,554.63 / $11,500.00	Facility		$622.12	$4,554.63	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $223.27 / $349.53 / $1,295.44	Professional		$223.27	$349.53	$1,295.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,985.59	Facility		$466.83	$568.48	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.01 / $285.20 / $493.51	Professional		$160.01	$285.20	$493.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $159.08 / $298.76 / $1,422.51	Facility		$159.08	$298.76	$1,422.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.72 / $292.33 / $861.44	Professional		$158.72	$292.33	$861.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.99 / $229.64 / $410.16	Professional		$40.99	$229.64	$410.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $241.23 / $335.00 / $350.20	Facility		$241.23	$335.00	$350.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.30 / $238.10 / $1,613.81	Facility		$233.30	$238.10	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.59 / $318.22 / $440.92	Professional		$222.59	$318.22	$440.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,024.21 / $4,552.03 / $8,712.50	Facility		$3,024.21	$4,552.03	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $202.24 / $300.29 / $429.63	Professional		$202.24	$300.29	$429.63
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 $213.72 / $287.27 / $506.26	Professional		$213.72	$287.27	$506.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.13 / $144.38 / $192.68	Professional		$144.13	$144.38	$192.68