Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.32 / $507.69 / $14,464.32	Facility		$179.32	$507.69	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $200.21 / $516.13	Professional		$94.02	$200.21	$516.13
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 $162.02 / $400.32 / $1,565.36	Professional		$162.02	$400.32	$1,565.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.13 / $714.97 / $947.00	Facility		$199.13	$714.97	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.74 / $270.95 / $591.16	Professional		$127.74	$270.95	$591.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $129.60 / $250.52 / $592.71	Facility		$129.60	$250.52	$592.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.98 / $242.62 / $516.64	Professional		$122.98	$242.62	$516.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.92 / $325.59 / $552.28	Professional		$53.92	$325.59	$552.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $225.87 / $398.65 / $428.13	Facility		$225.87	$398.65	$428.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.19 / $289.74 / $289.92	Facility		$154.19	$289.74	$289.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.68 / $289.74 / $551.64	Professional		$161.68	$289.74	$551.64
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 $161.77 / $298.70 / $490.72	Professional		$161.77	$298.70	$490.72
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 $230.04 / $352.63 / $617.92	Professional		$230.04	$352.63	$617.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.24 / $176.69 / $239.17	Professional		$102.24	$176.69	$239.17