Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.22 / $424.65 / $14,464.32	Facility		$203.22	$424.65	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.93 / $169.40 / $424.65	Professional		$103.93	$169.40	$424.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $877.58 / $2,059.91	Facility		$55.00	$877.58	$2,059.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $176.09 / $349.93 / $1,315.68	Professional		$176.09	$349.93	$1,315.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.34 / $270.45 / $270.45	Facility		$162.34	$270.45	$270.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.52 / $262.45 / $507.60	Professional		$135.52	$262.45	$507.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $138.16 / $247.37 / $461.90	Facility		$138.16	$247.37	$461.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.81 / $242.60 / $416.23	Professional		$135.81	$242.60	$416.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.03 / $269.65 / $493.59	Professional		$47.03	$269.65	$493.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $206.37 / $319.64 / $355.10	Facility		$206.37	$319.64	$355.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.48 / $240.54 / $242.21	Facility		$127.48	$240.54	$242.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.06 / $282.92 / $462.88	Professional		$181.06	$282.92	$462.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,011.08 / $1,558.33 / $2,982.61	Facility		$1,011.08	$1,558.33	$2,982.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $284.08 / $410.22	Professional		$181.22	$284.08	$410.22
United Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $497.00 / $5,793.00	Facility		$125.00	$497.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $183.00 / $299.73 / $510.30	Professional		$183.00	$299.73	$510.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $118.44 / $145.76 / $197.36	Professional		$118.44	$145.76	$197.36