Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.35 / $409.10 / $14,464.32	Facility		$253.35	$409.10	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.10 / $189.79 / $422.14	Professional		$125.10	$189.79	$422.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $356.65 / $1,465.59 / $12,000.00	Facility		$356.65	$1,465.59	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $212.40 / $364.67 / $1,278.16	Professional		$212.40	$364.67	$1,278.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.19 / $568.48 / $646.73	Facility		$388.19	$568.48	$646.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.60 / $290.00 / $502.69	Professional		$162.60	$290.00	$502.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $158.69 / $299.23 / $500.35	Facility		$158.69	$299.23	$500.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.10 / $284.13 / $449.05	Professional		$158.10	$284.13	$449.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.96 / $244.39 / $427.18	Professional		$40.96	$244.39	$427.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $224.32 / $310.20 / $345.05	Facility		$224.32	$310.20	$345.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.39 / $235.36 / $368.87	Facility		$232.39	$235.36	$368.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.30 / $321.39 / $452.54	Professional		$220.30	$321.39	$452.54
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 $223.27 / $303.27 / $407.65	Professional		$223.27	$303.27	$407.65
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 $183.43 / $284.43 / $499.17	Professional		$183.43	$284.43	$499.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.90 / $151.07 / $191.72	Professional		$141.90	$151.07	$191.72