Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.24 / $445.45 / $13,750.00	Facility		$147.24	$445.45	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.43 / $150.18 / $361.46	Professional		$82.43	$150.18	$361.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $188.90 / $2,421.15 / $4,941.05	Facility		$188.90	$2,421.15	$4,941.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $138.76 / $250.22 / $668.70	Professional		$138.76	$250.22	$668.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $1,132.06	Facility		$714.97	$870.49	$1,132.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.73 / $204.50 / $387.85	Professional		$110.73	$204.50	$387.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $109.12 / $208.89 / $762.72	Facility		$109.12	$208.89	$762.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.12 / $206.04 / $502.07	Professional		$109.12	$206.04	$502.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $203.45 / $356.23	Professional		$36.02	$203.45	$356.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $161.03 / $258.72 / $296.81	Facility		$161.03	$258.72	$296.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.54 / $188.90 / $715.32	Facility		$185.54	$188.90	$715.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.09 / $209.89 / $345.07	Professional		$135.09	$209.89	$345.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,674.98 / $2,581.55 / $4,941.05	Facility		$1,674.98	$2,581.55	$4,941.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $195.95 / $337.44	Professional		$128.16	$195.95	$337.44
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 $177.05 / $256.20 / $418.55	Professional		$177.05	$256.20	$418.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $109.05 / $145.10	Professional		$81.56	$109.05	$145.10