Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.97 / $268.75 / $541.28	Facility		$160.97	$268.75	$541.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.45 / $160.97 / $321.95	Professional		$107.45	$160.97	$321.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,103.00 / $7,307.41 / $11,933.63	Facility		$1,103.00	$7,307.41	$11,933.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $177.41 / $311.04 / $3,100.39	Professional		$177.41	$311.04	$3,100.39
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 $154.47 / $274.73 / $459.89	Professional		$154.47	$274.73	$459.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $179.09 / $349.20 / $7,397.05	Facility		$179.09	$349.20	$7,397.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.11 / $314.77 / $558.04	Professional		$149.11	$314.77	$558.04
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 $211.12 / $257.95 / $480.77	Facility		$211.12	$257.95	$480.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.95 / $173.95 / $175.95	Facility		$173.95	$173.95	$175.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.29 / $303.14 / $370.66	Professional		$200.29	$303.14	$370.66
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 $177.41 / $266.42 / $386.27	Professional		$177.41	$266.42	$386.27
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 $143.28 / $227.14 / $404.29	Professional		$143.28	$227.14	$404.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.18 / $144.18 / $144.18	Professional		$144.18	$144.18	$144.18