Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.41 / $393.46 / $14,464.32	Facility		$196.41	$393.46	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.18 / $158.13 / $363.87	Professional		$104.18	$158.13	$363.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,120.58 / $2,059.91	Facility		$55.00	$1,120.58	$2,059.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $170.17 / $298.93 / $1,083.52	Professional		$170.17	$298.93	$1,083.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.21 / $466.83 / $636.00	Facility		$135.21	$466.83	$636.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $250.77 / $430.19	Professional		$135.00	$250.77	$430.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $139.81 / $244.70 / $460.00	Facility		$139.81	$244.70	$460.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $240.50 / $384.16	Professional		$137.93	$240.50	$384.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $189.87 / $337.98	Professional		$31.86	$189.87	$337.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $189.34 / $291.57 / $315.57	Facility		$189.34	$291.57	$315.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.57 / $199.71 / $205.21	Facility		$114.57	$199.71	$205.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.46 / $262.60 / $393.78	Professional		$171.46	$262.60	$393.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,120.58 / $1,558.33 / $2,982.61	Facility		$1,120.58	$1,558.33	$2,982.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $174.90 / $243.82 / $339.33	Professional		$174.90	$243.82	$339.33
United Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $497.00 / $5,793.00	Facility		$125.00	$497.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.04 / $272.41 / $442.66	Professional		$172.04	$272.41	$442.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $118.63 / $122.85 / $165.98	Professional		$118.63	$122.85	$165.98