Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.49 / $548.78 / $22,024.00	Facility		$248.49	$548.78	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.75 / $248.49 / $564.57	Professional		$181.75	$248.49	$564.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,300.00 / $5,699.59	Facility		$55.00	$1,300.00	$5,699.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $292.12 / $451.76 / $3,059.50	Professional		$292.12	$451.76	$3,059.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.72 / $364.18 / $606.57	Professional		$216.72	$364.18	$606.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $197.16 / $368.88 / $498.15	Facility		$197.16	$368.88	$498.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.16 / $375.98 / $508.49	Professional		$197.16	$375.98	$508.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.94 / $293.62 / $518.16	Professional		$51.94	$293.62	$518.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $274.70 / $379.89 / $416.07	Facility		$274.70	$379.89	$416.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.33 / $276.33 / $283.80	Facility		$276.33	$276.33	$283.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.52 / $451.47 / $563.30	Professional		$317.52	$451.47	$563.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,979.69 / $9,979.69 / $18,894.75	Facility		$9,979.69	$9,979.69	$18,894.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $281.82 / $407.17 / $543.84	Professional		$281.82	$407.17	$543.84
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,323.00 / $5,793.00	Facility		$702.00	$1,323.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.06 / $330.55 / $594.99	Professional		$248.06	$330.55	$594.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $172.26 / $172.26 / $211.32	Professional		$172.26	$172.26	$211.32