Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.88 / $684.61 / $14,464.32	Facility		$240.88	$684.61	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.40 / $270.27 / $691.94	Professional		$129.40	$270.27	$691.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,303.45 / $7,123.96	Facility		$55.00	$3,303.45	$7,123.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $219.79 / $552.77 / $2,249.19	Professional		$219.79	$552.77	$2,249.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $2,046.84	Facility		$500.00	$870.49	$2,046.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.24 / $382.50 / $856.71	Professional		$181.24	$382.50	$856.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $187.20 / $404.77 / $1,658.81	Facility		$187.20	$404.77	$1,658.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.46 / $353.55 / $898.66	Professional		$179.46	$353.55	$898.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.62 / $440.74 / $744.06	Professional		$72.62	$440.74	$744.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $327.23 / $554.16 / $619.63	Facility		$327.23	$554.16	$619.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $415.41 / $608.39 / $1,167.02	Facility		$415.41	$608.39	$1,167.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.94 / $415.41 / $786.47	Professional		$215.94	$415.41	$786.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,496.71 / $5,392.38 / $10,315.01	Facility		$3,496.71	$5,392.38	$10,315.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $217.91 / $420.19 / $698.97	Professional		$217.91	$420.19	$698.97
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 $323.14 / $498.73 / $877.63	Professional		$323.14	$498.73	$877.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $139.96 / $248.74 / $339.24	Professional		$139.96	$248.74	$339.24