Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.29 / $490.31 / $17,100.00	Facility		$231.29	$490.31	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.52 / $201.02 / $482.79	Professional		$123.52	$201.02	$482.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $885.84 / $2,583.03 / $11,500.00	Facility		$885.84	$2,583.03	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $210.96 / $354.08 / $2,314.00	Professional		$210.96	$354.08	$2,314.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $1,132.06	Facility		$625.25	$761.81	$1,132.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.25 / $280.35 / $547.69	Professional		$160.25	$280.35	$547.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $152.88 / $284.64 / $840.73	Facility		$152.88	$284.64	$840.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.88 / $280.27 / $619.04	Professional		$152.88	$280.27	$619.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.53 / $253.73 / $447.48	Professional		$45.53	$253.73	$447.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $233.56 / $353.09 / $391.28	Facility		$233.56	$353.09	$391.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.93 / $266.89 / $927.31	Facility		$260.93	$266.89	$927.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.01 / $314.17 / $482.60	Professional		$210.01	$314.17	$482.60
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 $200.86 / $304.26 / $474.58	Professional		$200.86	$304.26	$474.58
United Facility/Professional Facility Modifier Low / Median / High Price $938.00 / $3,184.20 / $5,093.20	Facility		$938.00	$3,184.20	$5,093.20
United Facility/Professional Professional Modifier Low / Median / High Price $219.67 / $315.58 / $549.46	Professional		$219.67	$315.58	$549.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.99 / $160.12 / $213.91	Professional		$134.99	$160.12	$213.91