Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.45 / $559.21 / $13,750.00	Facility		$308.45	$559.21	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.43 / $230.38 / $481.26	Professional		$159.43	$230.38	$481.26
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 $265.89 / $471.19 / $1,748.08	Professional		$265.89	$471.19	$1,748.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.57 / $714.97 / $947.00	Facility		$205.57	$714.97	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.79 / $372.27 / $672.86	Professional		$202.79	$372.27	$672.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $205.22 / $360.79 / $649.21	Facility		$205.22	$360.79	$649.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.46 / $351.19 / $563.40	Professional		$199.46	$351.19	$563.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.26 / $325.59 / $552.28	Professional		$54.26	$325.59	$552.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $274.37 / $440.82 / $474.36	Facility		$274.37	$440.82	$474.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.69 / $315.74 / $323.56	Facility		$156.69	$315.74	$323.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.19 / $414.25 / $610.83	Professional		$275.19	$414.25	$610.83
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 $274.83 / $383.30 / $547.99	Professional		$274.83	$383.30	$547.99
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 $251.23 / $391.16 / $670.69	Professional		$251.23	$391.16	$670.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.60 / $194.08 / $260.92	Professional		$181.60	$194.08	$260.92