Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.65 / $2,036.60 / $6,629.40	Facility		$183.65	$2,036.60	$6,629.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $183.16 / $519.76	Professional		$87.98	$183.16	$519.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $625.79 / $2,532.58 / $12,000.00	Facility		$625.79	$2,532.58	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $161.72 / $433.98 / $1,746.00	Professional		$161.72	$433.98	$1,746.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,159.36	Facility		$466.83	$568.48	$1,159.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $284.87 / $667.21	Professional		$125.50	$284.87	$667.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $131.77 / $286.05 / $810.48	Facility		$131.77	$286.05	$810.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.85 / $251.69 / $632.77	Professional		$126.85	$251.69	$632.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.62 / $250.70 / $539.37	Professional		$42.62	$250.70	$539.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $231.15 / $395.76 / $477.04	Facility		$231.15	$395.76	$477.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $325.38 / $325.70 / $671.06	Facility		$325.38	$325.70	$671.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.32 / $325.38 / $614.03	Professional		$168.32	$325.38	$614.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,679.53 / $2,590.05 / $4,954.47	Facility		$1,679.53	$2,590.05	$4,954.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $169.44 / $315.14 / $540.76	Professional		$169.44	$315.14	$540.76
United Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $887.00 / $4,611.00	Facility		$425.00	$887.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.15 / $375.59 / $679.24	Professional		$219.15	$375.59	$679.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.39 / $194.35 / $267.87	Professional		$112.39	$194.35	$267.87