Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.47 / $320.79 / $674.82	Facility		$206.47	$320.79	$674.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.56 / $206.47 / $494.87	Professional		$142.56	$206.47	$494.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,406.32 / $7,307.41 / $11,933.63	Facility		$1,406.32	$7,307.41	$11,933.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $231.00 / $404.55 / $3,139.84	Professional		$231.00	$404.55	$3,139.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,105.59 / $10,818.66 / $13,141.64	Facility		$5,105.59	$10,818.66	$13,141.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.30 / $356.28 / $603.79	Professional		$199.30	$356.28	$603.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $223.23 / $444.18 / $7,397.05	Facility		$223.23	$444.18	$7,397.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.44 / $402.54 / $706.75	Professional		$193.44	$402.54	$706.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.45 / $155.56 / $376.05	Professional		$31.45	$155.56	$376.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $284.35 / $341.59 / $602.79	Facility		$284.35	$341.59	$602.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $226.50 / $226.50 / $236.27	Facility		$226.50	$226.50	$236.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.45 / $398.58 / $492.18	Professional		$261.45	$398.58	$492.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,650.51 / $8,807.33 / $17,177.93	Facility		$5,650.51	$8,807.33	$17,177.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $231.00 / $354.15 / $481.00	Professional		$231.00	$354.15	$481.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,947.36 / $11,674.85 / $18,347.95	Facility		$8,947.36	$11,674.85	$18,347.95
United Facility/Professional Professional Modifier Low / Median / High Price $179.37 / $258.45 / $514.33	Professional		$179.37	$258.45	$514.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $195.97 / $195.97 / $195.97	Professional		$195.97	$195.97	$195.97