Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.92 / $600.01 / $17,100.00	Facility		$328.92	$600.01	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.24 / $328.92 / $651.92	Professional		$188.24	$328.92	$651.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $892.96 / $2,583.03 / $11,500.00	Facility		$892.96	$2,583.03	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $327.98 / $512.86 / $1,898.16	Professional		$327.98	$512.86	$1,898.16
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 $227.21 / $394.57 / $722.34	Professional		$227.21	$394.57	$722.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $210.80 / $405.79 / $840.73	Facility		$210.80	$405.79	$840.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.05 / $404.78 / $712.70	Professional		$203.05	$404.78	$712.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.54 / $332.42 / $619.81	Professional		$62.54	$332.42	$619.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $318.80 / $440.86 / $516.57	Facility		$318.80	$440.86	$516.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.82 / $351.53 / $927.31	Facility		$308.82	$351.53	$927.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.58 / $460.21 / $637.63	Professional		$316.58	$460.21	$637.63
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 $304.73 / $428.60 / $619.27	Professional		$304.73	$428.60	$619.27
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 $292.76 / $402.52 / $738.62	Professional		$292.76	$402.52	$738.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $206.28 / $213.96 / $282.44	Professional		$206.28	$213.96	$282.44