Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.48 / $487.17 / $666.26	Facility		$28.48	$487.17	$666.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.48 / $159.31 / $574.50	Professional		$28.48	$159.31	$574.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $352.17 / $1,129.34 / $2,161.55	Facility		$352.17	$1,129.34	$2,161.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $22.88 / $360.53 / $2,483.07	Professional		$22.88	$360.53	$2,483.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $70.95 / $1,071.70	Professional		$27.77	$70.95	$1,071.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $44.95 / $92.79 / $995.25	Facility		$44.95	$92.79	$995.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.95 / $75.90 / $962.97	Professional		$44.95	$75.90	$962.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.28 / $503.14 / $908.72	Professional		$90.28	$503.14	$908.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.55 / $653.79 / $700.15	Facility		$43.55	$653.79	$700.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $352.17 / $352.17 / $519.59	Facility		$352.17	$352.17	$519.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $70.05 / $867.59	Professional		$30.29	$70.05	$867.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $732.75 / $1,129.34 / $2,161.55	Facility		$732.75	$1,129.34	$2,161.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $72.52 / $556.52	Professional		$21.74	$72.52	$556.52
United Facility/Professional Professional Modifier Low / Median / High Price $43.93 / $342.85 / $911.32	Professional		$43.93	$342.85	$911.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $21.92 / $391.29	Professional		$21.92	$21.92	$391.29