Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.22 / $1,672.51 / $2,874.09	Facility		$394.22	$1,672.51	$2,874.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.51 / $233.90 / $394.22	Professional		$158.51	$233.90	$394.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $946.29 / $1,427.71 / $2,965.26	Facility		$946.29	$1,427.71	$2,965.26
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $319.77 / $515.77 / $2,232.15	Professional		$319.77	$515.77	$2,232.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.00 / $584.36 / $829.35	Professional		$337.00	$584.36	$829.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $249.38 / $451.84 / $768.48	Facility		$249.38	$451.84	$768.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $249.38 / $391.00 / $708.24	Professional		$249.38	$391.00	$708.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $268.26 / $327.87 / $402.39	Professional		$268.26	$327.87	$402.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $224.28 / $283.17 / $298.07	Facility		$224.28	$283.17	$298.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.63 / $354.63 / $384.60	Facility		$354.63	$354.63	$384.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.16 / $549.49 / $727.34	Professional		$362.16	$549.49	$727.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,121.85 / $1,518.92 / $2,905.51	Facility		$1,121.85	$1,518.92	$2,905.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $336.34 / $469.88 / $672.02	Professional		$336.34	$469.88	$672.02
United Facility/Professional Professional Modifier Low / Median / High Price $252.96 / $480.54 / $810.54	Professional		$252.96	$480.54	$810.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $298.07 / $344.51 / $418.09	Professional		$298.07	$344.51	$418.09