Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.50 / $716.96 / $14,464.32	Facility		$421.50	$716.96	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.49 / $311.97 / $662.24	Professional		$216.49	$311.97	$662.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $801.32 / $4,319.34 / $16,394.00	Facility		$801.32	$4,319.34	$16,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $357.92 / $630.89 / $2,276.00	Professional		$357.92	$630.89	$2,276.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $1,557.08	Facility		$625.25	$761.81	$1,557.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.25 / $490.97 / $871.23	Professional		$278.25	$490.97	$871.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $280.27 / $516.88 / $1,365.50	Facility		$280.27	$516.88	$1,365.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.89 / $493.61 / $863.92	Professional		$270.89	$493.61	$863.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $245.70 / $641.67	Professional		$39.46	$245.70	$641.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $410.41 / $575.53 / $617.07	Facility		$410.41	$575.53	$617.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $409.51 / $541.04 / $916.41	Facility		$409.51	$541.04	$916.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.51 / $549.74 / $789.07	Professional		$369.51	$549.74	$789.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,301.18 / $4,404.18 / $8,267.12	Facility		$3,301.18	$4,404.18	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $380.39 / $521.02 / $712.98	Professional		$380.39	$521.02	$712.98
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 $302.50 / $472.45 / $864.87	Professional		$302.50	$472.45	$864.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $246.96 / $253.43 / $337.33	Professional		$246.96	$253.43	$337.33