Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.86 / $226.83 / $354.43	Facility		$139.86	$226.83	$354.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.54 / $139.86 / $271.76	Professional		$98.54	$139.86	$271.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $440.00 / $1,687.87 / $2,846.48	Facility		$440.00	$1,687.87	$2,846.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $152.16 / $277.45 / $1,186.72	Professional		$152.16	$277.45	$1,186.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.59 / $2,617.62 / $3,225.49	Facility		$707.59	$2,617.62	$3,225.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.82 / $216.07 / $349.50	Professional		$113.82	$216.07	$349.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.40 / $249.08 / $1,710.13	Facility		$118.40	$249.08	$1,710.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.01 / $213.51 / $353.55	Professional		$115.01	$213.51	$353.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $103.10 / $228.28	Professional		$21.66	$103.10	$228.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $144.87 / $209.78 / $253.61	Facility		$144.87	$209.78	$253.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.61 / $147.61 / $159.91	Facility		$147.61	$147.61	$159.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.58 / $270.58 / $322.92	Professional		$177.58	$270.58	$322.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,405.05 / $2,214.17 / $4,315.00	Facility		$1,405.05	$2,214.17	$4,315.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $163.09 / $234.83 / $315.64	Professional		$163.09	$234.83	$315.64
United Facility/Professional Professional Modifier Low / Median / High Price $115.13 / $144.63 / $329.12	Professional		$115.13	$144.63	$329.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $119.69 / $119.69 / $119.69	Professional		$119.69	$119.69	$119.69