Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.72 / $5,128.00 / $20,680.40	Facility		$311.72	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.78 / $214.30 / $474.39	Professional		$153.78	$214.30	$474.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $234.44 / $7,222.64 / $26,542.00	Facility		$234.44	$7,222.64	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $252.14 / $402.51 / $3,201.00	Professional		$252.14	$402.51	$3,201.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.13 / $306.62 / $512.42	Professional		$186.13	$306.62	$512.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $166.40 / $342.00 / $431.32	Facility		$166.40	$342.00	$431.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.40 / $340.28 / $443.54	Professional		$166.40	$340.28	$443.54
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 $243.53 / $318.92 / $343.71	Facility		$243.53	$318.92	$343.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.03 / $231.03 / $234.44	Facility		$231.03	$231.03	$234.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.55 / $372.95 / $465.34	Professional		$262.55	$372.95	$465.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,732.95 / $5,732.95 / $7,222.64	Facility		$5,732.95	$5,732.95	$7,222.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $235.62 / $333.70 / $451.02	Professional		$235.62	$333.70	$451.02
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.10 / $280.72 / $493.36	Professional		$212.10	$280.72	$493.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $142.44 / $142.44 / $179.32	Professional		$142.44	$142.44	$179.32