Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.03 / $290.63 / $624.07	Facility		$188.03	$290.63	$624.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.66 / $188.03 / $376.08	Professional		$125.66	$188.03	$376.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,406.32 / $7,150.94 / $11,933.63	Facility		$1,406.32	$7,150.94	$11,933.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $207.90 / $364.12 / $3,095.91	Professional		$207.90	$364.12	$3,095.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,254.66 / $8,495.26 / $12,840.60	Facility		$1,254.66	$8,495.26	$12,840.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.47 / $316.66 / $537.76	Professional		$178.47	$316.66	$537.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $207.95 / $405.47 / $2,923.63	Facility		$207.95	$405.47	$2,923.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.90 / $353.22 / $624.40	Professional		$169.90	$353.22	$624.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.56 / $148.77 / $312.97	Professional		$29.56	$148.77	$312.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $253.00 / $305.10 / $536.44	Facility		$253.00	$305.10	$536.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.85 / $203.85 / $210.22	Facility		$203.85	$203.85	$210.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.94 / $361.28 / $437.92	Professional		$236.94	$361.28	$437.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,551.62 / $8,807.33 / $17,177.93	Facility		$5,551.62	$8,807.33	$17,177.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $207.90 / $315.10 / $447.89	Professional		$207.90	$315.10	$447.89
United Facility/Professional Professional Modifier Low / Median / High Price $166.01 / $249.63 / $504.67	Professional		$166.01	$249.63	$504.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $175.24 / $175.24 / $175.24	Professional		$175.24	$175.24	$175.24