Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.64 / $796.75 / $14,464.32	Facility		$261.64	$796.75	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.87 / $335.35 / $791.14	Professional		$139.87	$335.35	$791.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $438.96 / $2,581.55 / $6,683.07	Facility		$438.96	$2,581.55	$6,683.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $249.18 / $602.91 / $2,313.60	Professional		$249.18	$602.91	$2,313.60
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 $184.72 / $382.94 / $880.41	Professional		$184.72	$382.94	$880.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $184.04 / $366.02 / $849.54	Facility		$184.04	$366.02	$849.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.04 / $362.90 / $819.77	Professional		$184.04	$362.90	$819.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $317.31 / $686.56	Professional		$45.60	$317.31	$686.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $303.12 / $564.80 / $625.11	Facility		$303.12	$564.80	$625.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.82 / $426.38 / $927.31	Facility		$308.82	$426.38	$927.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.39 / $426.20 / $781.97	Professional		$238.39	$426.20	$781.97
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 $225.63 / $447.68 / $769.54	Professional		$225.63	$447.68	$769.54
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 $363.72 / $504.19 / $879.93	Professional		$363.72	$504.19	$879.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $152.28 / $253.70 / $346.83	Professional		$152.28	$253.70	$346.83