Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.41 / $521.00 / $13,750.00	Facility		$226.41	$521.00	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.44 / $210.31 / $535.55	Professional		$118.44	$210.31	$535.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,308.60 / $12,053.91	Facility		$55.00	$5,308.60	$12,053.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $195.48 / $426.02 / $1,640.96	Professional		$195.48	$426.02	$1,640.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.03 / $714.97 / $947.00	Facility		$229.03	$714.97	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.21 / $312.38 / $622.85	Professional		$158.21	$312.38	$622.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $165.52 / $299.08 / $609.75	Facility		$165.52	$299.08	$609.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.88 / $287.98 / $523.77	Professional		$161.88	$287.98	$523.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.84 / $298.51 / $522.23	Professional		$49.84	$298.51	$522.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $242.08 / $411.38 / $444.88	Facility		$242.08	$411.38	$444.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.48 / $298.52 / $303.45	Facility		$179.48	$298.52	$303.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.99 / $326.66 / $575.36	Professional		$200.99	$326.66	$575.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,118.81 / $17,453.22	Facility		$5,916.52	$9,118.81	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $200.15 / $332.00 / $512.84	Professional		$200.15	$332.00	$512.84
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 $232.79 / $365.20 / $642.05	Professional		$232.79	$365.20	$642.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $136.04 / $180.82 / $248.51	Professional		$136.04	$180.82	$248.51