Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.95 / $748.37 / $14,464.32	Facility		$222.95	$748.37	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.53 / $261.92 / $680.58	Professional		$117.53	$261.92	$680.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $500.42 / $1,787.86 / $3,066.24	Facility		$500.42	$1,787.86	$3,066.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $217.29 / $486.00 / $2,041.44	Professional		$217.29	$486.00	$2,041.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.43 / $332.36 / $768.76	Professional		$160.43	$332.36	$768.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $355.68 / $733.50	Facility		$180.00	$355.68	$733.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.44 / $316.17 / $678.27	Professional		$169.44	$316.17	$678.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.62 / $434.47 / $729.38	Professional		$72.62	$434.47	$729.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $315.61 / $504.71 / $550.74	Facility		$315.61	$504.71	$550.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $375.65 / $375.65 / $382.79	Facility		$375.65	$375.65	$382.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.88 / $375.65 / $730.03	Professional		$214.88	$375.65	$730.03
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 $218.16 / $390.39 / $638.28	Professional		$218.16	$390.39	$638.28
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 $303.27 / $501.83 / $794.56	Professional		$303.27	$501.83	$794.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $127.18 / $127.18 / $303.58	Professional		$127.18	$127.18	$303.58