Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.21 / $611.23 / $14,464.32	Facility		$153.21	$611.23	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.04 / $216.30 / $583.75	Professional		$78.04	$216.30	$583.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $532.64 / $2,532.58 / $12,000.00	Facility		$532.64	$2,532.58	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $136.74 / $531.74 / $2,121.04	Professional		$136.74	$531.74	$2,121.04
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 $107.35 / $264.73 / $813.96	Professional		$107.35	$264.73	$813.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $111.00 / $299.52 / $826.55	Facility		$111.00	$299.52	$826.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.77 / $253.33 / $732.94	Professional		$109.77	$253.33	$732.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.91 / $439.40 / $742.38	Professional		$70.91	$439.40	$742.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $194.15 / $467.09 / $582.23	Facility		$194.15	$467.09	$582.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $397.13 / $420.93 / $671.06	Facility		$397.13	$420.93	$671.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.53 / $339.34 / $766.57	Professional		$139.53	$339.34	$766.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,889.92 / $2,590.05 / $4,954.47	Facility		$1,889.92	$2,590.05	$4,954.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $141.19 / $307.47 / $668.35	Professional		$141.19	$307.47	$668.35
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 $275.50 / $460.80 / $855.43	Professional		$275.50	$460.80	$855.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.55 / $234.66 / $323.95	Professional		$89.55	$234.66	$323.95