Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.39 / $699.00 / $14,464.32	Facility		$302.39	$699.00	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.33 / $263.52 / $520.97	Professional		$165.33	$263.52	$520.97
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 $261.70 / $503.00 / $1,868.00	Professional		$261.70	$503.00	$1,868.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.21 / $625.25 / $842.00	Facility		$238.21	$625.25	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.07 / $400.87 / $721.84	Professional		$220.07	$400.87	$721.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $224.20 / $396.58 / $780.12	Facility		$224.20	$396.58	$780.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $219.41 / $392.16 / $653.17	Professional		$219.41	$392.16	$653.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $212.94 / $559.41	Professional		$39.46	$212.94	$559.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $333.90 / $496.59 / $532.65	Facility		$333.90	$496.59	$532.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.71 / $344.58 / $350.17	Facility		$198.71	$344.58	$350.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.70 / $420.49 / $662.74	Professional		$263.70	$420.49	$662.74
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 $273.63 / $413.55 / $585.48	Professional		$273.63	$413.55	$585.48
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 $288.75 / $449.58 / $754.37	Professional		$288.75	$449.58	$754.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.81 / $208.98 / $283.57	Professional		$177.81	$208.98	$283.57