Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.81 / $486.18 / $11,522.02	Facility		$158.81	$486.18	$11,522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $136.53 / $398.13	Professional		$81.59	$136.53	$398.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $604.02 / $3,269.98 / $12,000.00	Facility		$604.02	$3,269.98	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $137.53 / $418.37 / $1,871.28	Professional		$137.53	$418.37	$1,871.28
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 $115.48 / $233.75 / $713.02	Professional		$115.48	$233.75	$713.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $114.99 / $219.52 / $1,059.06	Facility		$114.99	$219.52	$1,059.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.11 / $212.75 / $680.68	Professional		$111.11	$212.75	$680.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.02 / $383.69 / $648.75	Professional		$62.02	$383.69	$648.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $174.87 / $305.52 / $509.87	Facility		$174.87	$305.52	$509.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $347.78 / $420.93 / $874.44	Facility		$347.78	$420.93	$874.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.41 / $287.98 / $639.42	Professional		$143.41	$287.98	$639.42
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 $143.97 / $252.80 / $574.97	Professional		$143.97	$252.80	$574.97
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 $126.14 / $227.12 / $620.49	Professional		$126.14	$227.12	$620.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.07 / $208.15 / $286.23	Professional		$92.07	$208.15	$286.23