Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.58 / $605.72 / $14,464.32	Facility		$309.58	$605.72	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.52 / $230.13 / $482.42	Professional		$157.52	$230.13	$482.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,177.68 / $8,576.15 / $16,394.00	Facility		$1,177.68	$8,576.15	$16,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $269.25 / $473.07 / $2,031.68	Professional		$269.25	$473.07	$2,031.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,302.92	Facility		$625.25	$761.81	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.81 / $367.39 / $665.65	Professional		$201.81	$367.39	$665.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $202.54 / $381.47 / $2,793.98	Facility		$202.54	$381.47	$2,793.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.64 / $362.96 / $745.31	Professional		$199.64	$362.96	$745.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.64 / $298.44 / $517.70	Professional		$49.64	$298.44	$517.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $313.56 / $436.84 / $471.68	Facility		$313.56	$436.84	$471.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.02 / $904.15 / $1,781.59	Facility		$313.02	$904.15	$1,781.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.52 / $416.04 / $601.32	Professional		$276.52	$416.04	$601.32
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 $278.05 / $382.66 / $544.90	Professional		$278.05	$382.66	$544.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,038.00 / $10,522.00	Facility		$1,100.00	$2,038.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $259.24 / $381.64 / $677.79	Professional		$259.24	$381.64	$677.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $182.47 / $194.08 / $259.81	Professional		$182.47	$194.08	$259.81