Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.95 / $778.19 / $14,464.32	Facility		$408.95	$778.19	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.69 / $350.04 / $778.19	Professional		$226.69	$350.04	$778.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $801.32 / $4,225.91 / $12,000.00	Facility		$801.32	$4,225.91	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $353.79 / $660.97 / $2,453.76	Professional		$353.79	$660.97	$2,453.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,557.08	Facility		$466.83	$568.48	$1,557.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.61 / $523.74 / $941.42	Professional		$306.61	$523.74	$941.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $316.20 / $574.44 / $1,365.50	Facility		$316.20	$574.44	$1,365.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $312.76 / $553.53 / $984.36	Professional		$312.76	$553.53	$984.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $279.12 / $731.40	Professional		$39.46	$279.12	$731.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $447.54 / $645.21 / $730.32	Facility		$447.54	$645.21	$730.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $443.03 / $451.06 / $916.41	Facility		$443.03	$451.06	$916.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.78 / $557.91 / $855.63	Professional		$363.78	$557.91	$855.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,301.18 / $4,321.81 / $8,267.12	Facility		$3,301.18	$4,321.81	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $370.23 / $529.88 / $766.41	Professional		$370.23	$529.88	$766.41
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $6,857.00	Facility		$650.00	$1,120.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.57 / $568.16 / $950.05	Professional		$375.57	$568.16	$950.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $246.58 / $274.69 / $370.89	Professional		$246.58	$274.69	$370.89