Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.49 / $296.08 / $540.79	Facility		$205.49	$296.08	$540.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.01 / $205.49 / $410.98	Professional		$128.01	$205.49	$410.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,103.00 / $6,899.78 / $11,933.63	Facility		$1,103.00	$6,899.78	$11,933.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $222.22 / $376.94 / $3,097.70	Professional		$222.22	$376.94	$3,097.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,235.84 / $8,495.26 / $12,840.60	Facility		$1,235.84	$8,495.26	$12,840.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.68 / $319.26 / $533.13	Professional		$175.68	$319.26	$533.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $179.09 / $371.57 / $2,923.63	Facility		$179.09	$371.57	$2,923.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.81 / $322.95 / $569.24	Professional		$145.81	$322.95	$569.24
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 $212.05 / $312.22 / $489.94	Facility		$212.05	$312.22	$489.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.96 / $212.96 / $217.89	Facility		$212.96	$212.96	$217.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.29 / $366.93 / $448.11	Professional		$242.29	$366.93	$448.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,187.26 / $8,807.33 / $17,177.93	Facility		$2,187.26	$8,807.33	$17,177.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $222.22 / $322.47 / $442.33	Professional		$222.22	$322.47	$442.33
United Facility/Professional Professional Modifier Low / Median / High Price $175.20 / $229.72 / $495.38	Professional		$175.20	$229.72	$495.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $184.90 / $184.90 / $184.90	Professional		$184.90	$184.90	$184.90