Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.76 / $805.12 / $14,464.32	Facility		$292.76	$805.12	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $388.85 / $881.56	Professional		$156.72	$388.85	$881.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $927.31 / $2,583.03 / $11,500.00	Facility		$927.31	$2,583.03	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $287.14 / $627.54 / $2,444.16	Professional		$287.14	$627.54	$2,444.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,132.06	Facility		$466.83	$568.48	$1,132.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.28 / $412.37 / $929.10	Professional		$211.28	$412.37	$929.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $212.38 / $424.60 / $867.70	Facility		$212.38	$424.60	$867.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.38 / $417.35 / $854.87	Professional		$212.38	$417.35	$854.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.48 / $323.74 / $720.86	Professional		$45.48	$323.74	$720.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $308.87 / $574.19 / $678.04	Facility		$308.87	$574.19	$678.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.82 / $446.21 / $927.31	Facility		$308.82	$446.21	$927.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.93 / $450.60 / $825.97	Professional		$263.93	$450.60	$825.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,674.98 / $2,581.55 / $4,941.05	Facility		$1,674.98	$2,581.55	$4,941.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $253.10 / $455.07 / $812.57	Professional		$253.10	$455.07	$812.57
United Facility/Professional Facility Modifier Low / Median / High Price $472.00 / $938.00 / $4,611.00	Facility		$472.00	$938.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $396.08 / $547.29 / $974.57	Professional		$396.08	$547.29	$974.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $171.83 / $266.95 / $363.22	Professional		$171.83	$266.95	$363.22