Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.62 / $500.54 / $12,214.00	Facility		$273.62	$500.54	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.43 / $241.00 / $500.54	Professional		$143.43	$241.00	$500.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,633.02 / $5,709.61	Facility		$55.00	$2,633.02	$5,709.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $235.40 / $505.84 / $1,940.40	Professional		$235.40	$505.84	$1,940.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.22 / $466.83 / $636.00	Facility		$261.22	$466.83	$636.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.92 / $371.08 / $736.56	Professional		$185.92	$371.08	$736.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $193.07 / $353.00 / $698.52	Facility		$193.07	$353.00	$698.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $189.80 / $344.24 / $613.85	Professional		$189.80	$344.24	$613.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.52 / $297.03 / $625.40	Professional		$46.52	$297.03	$625.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $282.07 / $473.20 / $527.29	Facility		$282.07	$473.20	$527.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.67 / $357.87 / $359.66	Facility		$208.67	$357.87	$359.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.63 / $399.67 / $684.77	Professional		$243.63	$399.67	$684.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,802.50 / $4,321.81 / $8,267.12	Facility		$2,802.50	$4,321.81	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $244.65 / $397.00 / $600.66	Professional		$244.65	$397.00	$600.66
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 $273.51 / $427.75 / $752.41	Professional		$273.51	$427.75	$752.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $161.21 / $213.12 / $291.44	Professional		$161.21	$213.12	$291.44