Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.73 / $521.00 / $14,464.32	Facility		$230.73	$521.00	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.12 / $201.53 / $430.06	Professional		$113.12	$201.53	$430.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $877.20 / $8,576.15 / $12,053.91	Facility		$877.20	$8,576.15	$12,053.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $199.25 / $421.20 / $1,608.00	Professional		$199.25	$421.20	$1,608.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $3,302.92	Facility		$466.83	$568.48	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.76 / $304.23 / $612.11	Professional		$147.76	$304.23	$612.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $155.87 / $294.31 / $2,793.98	Facility		$155.87	$294.31	$2,793.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.12 / $282.60 / $650.84	Professional		$153.12	$282.60	$650.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.84 / $298.51 / $522.23	Professional		$49.84	$298.51	$522.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $225.12 / $375.20 / $437.51	Facility		$225.12	$375.20	$437.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $293.54 / $904.15 / $1,781.59	Facility		$293.54	$904.15	$1,781.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.87 / $325.42 / $546.41	Professional		$204.87	$325.42	$546.41
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 $201.84 / $335.93 / $495.95	Professional		$201.84	$335.93	$495.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $11,191.38 / $16,606.50	Facility		$1,120.00	$11,191.38	$16,606.50
United Facility/Professional Professional Modifier Low / Median / High Price $202.76 / $333.36 / $630.46	Professional		$202.76	$333.36	$630.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $137.66 / $177.51 / $244.22	Professional		$137.66	$177.51	$244.22