Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.44 / $440.17 / $14,464.32	Facility		$162.44	$440.17	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.81 / $199.47 / $429.36	Professional		$85.81	$199.47	$429.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $517.25 / $3,269.98 / $12,000.00	Facility		$517.25	$3,269.98	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $389.76 / $1,541.36	Professional		$149.16	$389.76	$1,541.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,499.24	Facility		$466.83	$568.48	$1,499.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.73 / $245.76 / $589.11	Professional		$117.73	$245.76	$589.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $125.71 / $261.05 / $1,059.06	Facility		$125.71	$261.05	$1,059.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.50 / $226.38 / $628.54	Professional		$120.50	$226.38	$628.54
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 $216.66 / $369.36 / $431.69	Facility		$216.66	$369.36	$431.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $289.27 / $552.13 / $929.09	Facility		$289.27	$552.13	$929.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.15 / $289.27 / $552.00	Professional		$145.15	$289.27	$552.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,168.55 / $3,344.18 / $6,397.05	Facility		$2,168.55	$3,344.18	$6,397.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $149.54 / $290.08 / $480.76	Professional		$149.54	$290.08	$480.76
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 $195.97 / $325.81 / $615.99	Professional		$195.97	$325.81	$615.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.05 / $172.55 / $234.35	Professional		$95.05	$172.55	$234.35