Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.31 / $475.95 / $14,464.32	Facility		$191.31	$475.95	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.75 / $218.18 / $465.97	Professional		$99.75	$218.18	$465.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $609.40 / $3,269.98 / $12,000.00	Facility		$609.40	$3,269.98	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $176.22 / $438.21 / $1,662.24	Professional		$176.22	$438.21	$1,662.24
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 $135.49 / $282.45 / $634.16	Professional		$135.49	$282.45	$634.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $146.60 / $288.30 / $1,059.06	Facility		$146.60	$288.30	$1,059.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.18 / $267.22 / $673.99	Professional		$140.18	$267.22	$673.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.03 / $381.07 / $647.53	Professional		$63.03	$381.07	$647.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $224.91 / $399.00 / $461.04	Facility		$224.91	$399.00	$461.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.13 / $552.13 / $929.09	Facility		$312.13	$552.13	$929.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.42 / $312.13 / $596.12	Professional		$174.42	$312.13	$596.12
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 $176.22 / $325.39 / $518.74	Professional		$176.22	$325.39	$518.74
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 $231.27 / $369.09 / $665.22	Professional		$231.27	$369.09	$665.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $111.72 / $186.62 / $251.81	Professional		$111.72	$186.62	$251.81