Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.05 / $611.46 / $11,522.02	Facility		$159.05	$611.46	$11,522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.66 / $239.75 / $625.15	Professional		$110.66	$239.75	$625.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $300.61 / $1,787.86 / $3,066.24	Facility		$300.61	$1,787.86	$3,066.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $210.39 / $476.93 / $1,874.88	Professional		$210.39	$476.93	$1,874.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.77 / $311.10 / $705.43	Professional		$153.77	$311.10	$705.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $172.50 / $327.18 / $730.67	Facility		$172.50	$327.18	$730.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.24 / $302.02 / $622.51	Professional		$162.24	$302.02	$622.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $378.66 / $636.08	Professional		$63.51	$378.66	$636.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $253.87 / $458.98 / $505.85	Facility		$253.87	$458.98	$505.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $345.04 / $345.04 / $351.08	Facility		$345.04	$345.04	$351.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.12 / $345.04 / $671.59	Professional		$207.12	$345.04	$671.59
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 $210.28 / $358.05 / $586.26	Professional		$210.28	$358.05	$586.26
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 $234.60 / $385.31 / $718.46	Professional		$234.60	$385.31	$718.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $121.96 / $121.96 / $277.44	Professional		$121.96	$121.96	$277.44