Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.48 / $276.37 / $588.20	Facility		$177.48	$276.37	$588.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $182.15 / $450.92	Professional		$128.69	$182.15	$450.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,143.00 / $7,307.41 / $11,933.63	Facility		$1,143.00	$7,307.41	$11,933.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $203.74 / $352.88 / $3,960.00	Professional		$203.74	$352.88	$3,960.00
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 $174.71 / $309.27 / $513.70	Professional		$174.71	$309.27	$513.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $199.89 / $389.75 / $7,397.05	Facility		$199.89	$389.75	$7,397.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.60 / $351.48 / $628.40	Professional		$173.60	$351.48	$628.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $110.49 / $296.23	Professional		$24.54	$110.49	$296.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $242.86 / $297.48 / $531.48	Facility		$242.86	$297.48	$531.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.77 / $199.77 / $202.91	Facility		$199.77	$199.77	$202.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.13 / $346.59 / $422.69	Professional		$227.13	$346.59	$422.69
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 $203.74 / $305.07 / $432.26	Professional		$203.74	$305.07	$432.26
United Facility/Professional Professional Modifier Low / Median / High Price $160.60 / $273.02 / $446.37	Professional		$160.60	$273.02	$446.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $163.52 / $163.52 / $163.52	Professional		$163.52	$163.52	$163.52