Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.88 / $607.28 / $14,464.32	Facility		$192.88	$607.28	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.22 / $239.64 / $600.87	Professional		$99.22	$239.64	$600.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $308.82 / $2,404.65 / $4,941.05	Facility		$308.82	$2,404.65	$4,941.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $176.03 / $485.64 / $2,027.04	Professional		$176.03	$485.64	$2,027.04
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 $125.22 / $287.37 / $757.75	Professional		$125.22	$287.37	$757.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $120.56 / $272.83 / $840.73	Facility		$120.56	$272.83	$840.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.56 / $266.38 / $715.68	Professional		$120.56	$266.38	$715.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.82 / $404.36 / $717.66	Professional		$71.82	$404.36	$717.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $207.92 / $473.69 / $548.73	Facility		$207.92	$473.69	$548.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.82 / $361.95 / $927.31	Facility		$308.82	$361.95	$927.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.25 / $353.39 / $670.97	Professional		$174.25	$353.39	$670.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,859.61 / $2,581.55 / $4,941.05	Facility		$1,859.61	$2,581.55	$4,941.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $168.01 / $337.33 / $645.45	Professional		$168.01	$337.33	$645.45
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 $282.80 / $388.84 / $764.74	Professional		$282.80	$388.84	$764.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.63 / $218.37 / $298.89	Professional		$112.63	$218.37	$298.89