Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.21 / $423.63 / $14,464.32	Facility		$153.21	$423.63	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $184.81 / $412.70	Professional		$78.29	$184.81	$412.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $488.30 / $7,780.40 / $12,000.00	Facility		$488.30	$7,780.40	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $134.82 / $377.30 / $1,494.96	Professional		$134.82	$377.30	$1,494.96
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 $107.35 / $232.38 / $571.79	Professional		$107.35	$232.38	$571.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $117.45 / $244.56 / $2,495.04	Facility		$117.45	$244.56	$2,495.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.18 / $213.64 / $611.39	Professional		$111.18	$213.64	$611.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.03 / $274.13 / $466.30	Professional		$45.03	$274.13	$466.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $178.12 / $351.75 / $413.44	Facility		$178.12	$351.75	$413.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $280.60 / $929.09 / $1,915.04	Facility		$280.60	$929.09	$1,915.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.53 / $280.60 / $536.41	Professional		$139.53	$280.60	$536.41
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 $141.19 / $274.70 / $466.33	Professional		$141.19	$274.70	$466.33
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,436.00 / $5,484.78	Facility		$650.00	$1,436.00	$5,484.78
United Facility/Professional Professional Modifier Low / Median / High Price $198.94 / $315.00 / $589.00	Professional		$198.94	$315.00	$589.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.55 / $167.02 / $227.27	Professional		$89.55	$167.02	$227.27