Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.83 / $391.96 / $14,464.32	Facility		$170.83	$391.96	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.68 / $145.43 / $322.24	Professional		$87.68	$145.43	$322.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,729.58 / $6,069.94	Facility		$55.00	$2,729.58	$6,069.94
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $147.66 / $325.29 / $1,250.24	Professional		$147.66	$325.29	$1,250.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.84 / $466.83 / $636.00	Facility		$173.84	$466.83	$636.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.82 / $234.21 / $478.26	Professional		$115.82	$234.21	$478.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $120.44 / $216.68 / $447.22	Facility		$120.44	$216.68	$447.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.09 / $213.29 / $370.26	Professional		$116.09	$213.29	$370.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.85 / $243.92 / $429.64	Professional		$40.85	$243.92	$429.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $176.88 / $286.76 / $339.69	Facility		$176.88	$286.76	$339.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.96 / $227.86 / $231.70	Facility		$134.96	$227.86	$231.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.27 / $248.98 / $430.87	Professional		$152.27	$248.98	$430.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,979.36 / $4,594.55 / $8,788.86	Facility		$2,979.36	$4,594.55	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $150.29 / $253.50 / $385.07	Professional		$150.29	$253.50	$385.07
United Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $887.00 / $4,611.00	Facility		$425.00	$887.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.87 / $273.77 / $484.49	Professional		$167.87	$273.77	$484.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $101.90 / $139.13 / $190.69	Professional		$101.90	$139.13	$190.69