Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.31 / $648.77 / $12,214.00	Facility		$217.31	$648.77	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.06 / $247.07 / $642.57	Professional		$114.06	$247.07	$642.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $461.79 / $1,787.86 / $3,066.24	Facility		$461.79	$1,787.86	$3,066.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $212.81 / $480.34 / $2,178.60	Professional		$212.81	$480.34	$2,178.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.86 / $315.60 / $709.11	Professional		$156.86	$315.60	$709.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $176.00 / $329.28 / $730.67	Facility		$176.00	$329.28	$730.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.12 / $306.74 / $628.90	Professional		$165.12	$306.74	$628.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $379.18 / $638.79	Professional		$63.47	$379.18	$638.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $254.59 / $462.30 / $508.53	Facility		$254.59	$462.30	$508.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.86 / $346.86 / $355.15	Facility		$346.86	$346.86	$355.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.51 / $346.86 / $679.44	Professional		$209.51	$346.86	$679.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,655.68 / $2,269.03 / $4,340.41	Facility		$1,655.68	$2,269.03	$4,340.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $212.71 / $362.21 / $589.36	Professional		$212.71	$362.21	$589.36
United Facility/Professional Facility Modifier Low / Median / High Price $648.00 / $1,106.00 / $4,911.00	Facility		$648.00	$1,106.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $277.92 / $442.20 / $747.31	Professional		$277.92	$442.20	$747.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.70 / $123.70 / $279.18	Professional		$123.70	$123.70	$279.18