Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.16 / $558.40 / $14,464.32	Facility		$267.16	$558.40	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.61 / $234.12 / $558.40	Professional		$140.61	$234.12	$558.40
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 $234.09 / $454.55 / $1,685.04	Professional		$234.09	$454.55	$1,685.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.39 / $466.83 / $636.00	Facility		$213.39	$466.83	$636.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.03 / $356.48 / $641.39	Professional		$188.03	$356.48	$641.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $193.50 / $338.36 / $654.59	Facility		$193.50	$338.36	$654.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.50 / $332.47 / $565.51	Professional		$184.50	$332.47	$565.51
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 $281.00 / $439.96 / $469.00	Facility		$281.00	$439.96	$469.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.49 / $311.67 / $316.64	Facility		$174.49	$311.67	$316.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.09 / $372.04 / $606.51	Professional		$238.09	$372.04	$606.51
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 $236.26 / $373.97 / $527.87	Professional		$236.26	$373.97	$527.87
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 $242.16 / $389.18 / $674.02	Professional		$242.16	$389.18	$674.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.12 / $185.25 / $251.59	Professional		$154.12	$185.25	$251.59