Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.66 / $637.32 / $14,464.32	Facility		$293.66	$637.32	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.61 / $322.51 / $641.60	Professional		$156.61	$322.51	$641.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $419.07 / $2,581.55 / $6,683.07	Facility		$419.07	$2,581.55	$6,683.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $279.20 / $466.41 / $1,798.72	Professional		$279.20	$466.41	$1,798.72
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 $200.35 / $367.04 / $676.44	Professional		$200.35	$367.04	$676.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $198.52 / $372.23 / $840.73	Facility		$198.52	$372.23	$840.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.52 / $363.73 / $702.86	Professional		$198.52	$363.73	$702.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.80 / $300.10 / $553.67	Professional		$55.80	$300.10	$553.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $287.43 / $457.61 / $483.56	Facility		$287.43	$457.61	$483.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.82 / $322.08 / $927.31	Facility		$308.82	$322.08	$927.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.37 / $392.58 / $600.12	Professional		$263.37	$392.58	$600.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,973.03 / $2,581.55 / $4,941.05	Facility		$1,973.03	$2,581.55	$4,941.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $253.63 / $382.71 / $584.27	Professional		$253.63	$382.71	$584.27
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 $293.69 / $430.29 / $686.07	Professional		$293.69	$430.29	$686.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $167.28 / $197.11 / $263.57	Professional		$167.28	$197.11	$263.57