Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.31 / $570.05 / $13,809.00	Facility		$251.31	$570.05	$13,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.88 / $209.80 / $422.79	Professional		$130.88	$209.80	$422.79
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 $217.55 / $428.76 / $1,619.04	Professional		$217.55	$428.76	$1,619.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.09 / $625.25 / $842.00	Facility		$211.09	$625.25	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.41 / $335.71 / $617.22	Professional		$174.41	$335.71	$617.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $176.12 / $312.08 / $609.75	Facility		$176.12	$312.08	$609.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.33 / $307.45 / $530.38	Professional		$172.33	$307.45	$530.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $326.29 / $574.47	Professional		$55.08	$326.29	$574.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $258.42 / $415.40 / $439.52	Facility		$258.42	$415.40	$439.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.10 / $294.00 / $299.79	Facility		$163.10	$294.00	$299.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.69 / $348.04 / $567.57	Professional		$223.69	$348.04	$567.57
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 $225.73 / $347.22 / $507.74	Professional		$225.73	$347.22	$507.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $11,191.38 / $16,606.50	Facility		$1,120.00	$11,191.38	$16,606.50
United Facility/Professional Professional Modifier Low / Median / High Price $230.54 / $360.80 / $623.20	Professional		$230.54	$360.80	$623.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $149.51 / $179.44 / $244.22	Professional		$149.51	$179.44	$244.22