Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.97 / $268.75 / $562.89	Facility		$160.97	$268.75	$562.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.45 / $160.97 / $328.68	Professional		$107.45	$160.97	$328.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,103.00 / $1,419.06 / $2,482.73	Facility		$1,103.00	$1,419.06	$2,482.73
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $177.41 / $320.44 / $3,555.00	Professional		$177.41	$320.44	$3,555.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,254.66 / $2,132.19 / $2,669.48	Facility		$1,254.66	$2,132.19	$2,669.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $274.73 / $494.34	Professional		$154.47	$274.73	$494.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $179.09 / $349.20 / $1,574.04	Facility		$179.09	$349.20	$1,574.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.81 / $313.31 / $621.21	Professional		$145.81	$313.31	$621.21
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 / $535.14	Facility		$211.12	$257.95	$535.14
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 $1,240.02 / $1,740.76 / $3,385.52	Facility		$1,240.02	$1,740.76	$3,385.52
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 Professional Modifier Low / Median / High Price $143.28 / $250.12 / $435.57	Professional		$143.28	$250.12	$435.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.18 / $144.18 / $144.18	Professional		$144.18	$144.18	$144.18