Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.52 / $804.60 / $14,464.32	Facility		$373.52	$804.60	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.82 / $326.83 / $833.72	Professional		$187.82	$326.83	$833.72
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 $316.19 / $685.23 / $2,621.12	Professional		$316.19	$685.23	$2,621.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.71 / $714.97 / $947.00	Facility		$358.71	$714.97	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.56 / $469.12 / $997.43	Professional		$236.56	$469.12	$997.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $242.44 / $441.37 / $928.67	Facility		$242.44	$441.37	$928.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.98 / $429.60 / $733.63	Professional		$235.98	$429.60	$733.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.28 / $385.91 / $800.96	Professional		$48.28	$385.91	$800.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $364.36 / $611.04 / $715.56	Facility		$364.36	$611.04	$715.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.69 / $480.18 / $488.08	Facility		$276.69	$480.18	$488.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.88 / $546.62 / $923.66	Professional		$333.88	$546.62	$923.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,153.55 / $4,321.81 / $8,267.12	Facility		$3,153.55	$4,321.81	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $333.92 / $544.38 / $811.15	Professional		$333.92	$544.38	$811.15
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 $345.87 / $589.04 / $1,034.05	Professional		$345.87	$589.04	$1,034.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $224.90 / $294.83 / $402.08	Professional		$224.90	$294.83	$402.08