Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.87 / $458.99 / $14,464.32	Facility		$148.87	$458.99	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $179.88 / $430.32	Professional		$78.84	$179.88	$430.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,858.18 / $3,393.78	Facility		$55.00	$1,858.18	$3,393.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $131.85 / $332.57 / $1,408.08	Professional		$131.85	$332.57	$1,408.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.87 / $714.97 / $947.00	Facility		$184.87	$714.97	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.80 / $240.80 / $548.66	Professional		$106.80	$240.80	$548.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $108.96 / $225.49 / $538.91	Facility		$108.96	$225.49	$538.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.39 / $207.52 / $467.23	Professional		$103.39	$207.52	$467.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.68 / $326.09 / $552.28	Professional		$53.68	$326.09	$552.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $221.90 / $359.79 / $386.59	Facility		$221.90	$359.79	$386.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.86 / $261.39 / $262.74	Facility		$143.86	$261.39	$262.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.55 / $261.39 / $497.70	Professional		$134.55	$261.39	$497.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,874.47 / $2,568.87 / $4,913.96	Facility		$1,874.47	$2,568.87	$4,913.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $263.76 / $442.73	Professional		$135.63	$263.76	$442.73
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 $215.15 / $314.39 / $554.47	Professional		$215.15	$314.39	$554.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $159.29 / $216.27	Professional		$85.25	$159.29	$216.27