Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.32 / $399.32 / $399.32	Facility		$399.32	$399.32	$399.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $296.66 / $399.32	Professional		$112.50	$296.66	$399.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $516.59 / $1,438.12 / $2,006.25	Facility		$516.59	$1,438.12	$2,006.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $260.00 / $677.57 / $2,718.38	Professional		$260.00	$677.57	$2,718.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.68 / $591.72 / $971.10	Professional		$311.68	$591.72	$971.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $283.95 / $498.53 / $1,315.36	Facility		$283.95	$498.53	$1,315.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $259.16 / $449.38 / $766.49	Professional		$259.16	$449.38	$766.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.23 / $162.47 / $315.92	Professional		$81.23	$162.47	$315.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $466.97 / $622.62 / $633.15	Facility		$466.97	$622.62	$633.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $260.00 / $260.00	Facility		$260.00	$260.00	$260.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.00 / $674.80 / $791.63	Professional		$260.00	$674.80	$791.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $984.95 / $1,518.92 / $2,905.51	Facility		$984.95	$1,518.92	$2,905.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $400.09 / $580.70 / $766.11	Professional		$400.09	$580.70	$766.11
United Facility/Professional Professional Modifier Low / Median / High Price $303.52 / $442.29 / $793.00	Professional		$303.52	$442.29	$793.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $250.00 / $250.00	Professional		$250.00	$250.00	$250.00