Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.12 / $473.51 / $14,854.67	Facility		$181.12	$473.51	$14,854.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.74 / $200.81 / $430.62	Professional		$92.74	$200.81	$430.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $579.00 / $7,780.40 / $12,000.00	Facility		$579.00	$7,780.40	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $161.69 / $411.58 / $1,560.56	Professional		$161.69	$411.58	$1,560.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $3,311.26	Facility		$466.83	$568.48	$3,311.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.05 / $262.42 / $595.24	Professional		$124.05	$262.42	$595.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $133.44 / $259.42 / $2,495.04	Facility		$133.44	$259.42	$2,495.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.65 / $244.94 / $634.54	Professional		$130.65	$244.94	$634.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.03 / $325.59 / $552.28	Professional		$54.03	$325.59	$552.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $222.31 / $375.06 / $429.47	Facility		$222.31	$375.06	$429.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $292.94 / $929.09 / $1,915.04	Facility		$292.94	$929.09	$1,915.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $292.94 / $538.49	Professional		$165.00	$292.94	$538.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,159.74 / $7,956.97 / $15,220.78	Facility		$5,159.74	$7,956.97	$15,220.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $167.33 / $308.98 / $486.84	Professional		$167.33	$308.98	$486.84
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 $192.36 / $319.80 / $625.65	Professional		$192.36	$319.80	$625.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.06 / $174.75 / $235.89	Professional		$106.06	$174.75	$235.89