Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.26 / $245.60 / $540.38	Facility		$137.26	$245.60	$540.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.77 / $137.26 / $308.83	Professional		$89.77	$137.26	$308.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $645.83 / $1,512.82 / $2,482.73	Facility		$645.83	$1,512.82	$2,482.73
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $147.61 / $257.82 / $1,021.00	Professional		$147.61	$257.82	$1,021.00
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 $119.30 / $219.18 / $350.23	Professional		$119.30	$219.18	$350.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $152.35 / $292.87 / $1,574.04	Facility		$152.35	$292.87	$1,574.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.69 / $265.02 / $378.96	Professional		$134.69	$265.02	$378.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $102.70 / $228.88	Professional		$21.52	$102.70	$228.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $177.58 / $216.41 / $278.05	Facility		$177.58	$216.41	$278.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.87 / $145.87 / $147.61	Facility		$145.87	$145.87	$147.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.54 / $254.01 / $309.33	Professional		$167.54	$254.01	$309.33
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 $148.76 / $223.52 / $307.94	Professional		$148.76	$223.52	$307.94
United Facility/Professional Professional Modifier Low / Median / High Price $119.38 / $135.52 / $328.99	Professional		$119.38	$135.52	$328.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $122.74 / $122.74 / $122.74	Professional		$122.74	$122.74	$122.74