Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.08 / $41.81 / $808.10	Facility		$23.08	$41.81	$808.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $32.32 / $578.78	Professional		$20.00	$32.32	$578.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $430.54 / $577.67 / $1,085.27	Facility		$430.54	$577.67	$1,085.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $468.86 / $2,938.51	Professional		$18.29	$468.86	$2,938.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.96 / $61.49 / $953.73	Professional		$14.96	$61.49	$953.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $22.56 / $133.30 / $659.83	Facility		$22.56	$133.30	$659.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $118.73 / $1,036.18	Professional		$24.44	$118.73	$1,036.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.34 / $603.77 / $1,090.46	Professional		$108.34	$603.77	$1,090.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40.02 / $675.39 / $859.61	Facility		$40.02	$675.39	$859.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $432.37 / $432.37 / $613.82	Facility		$432.37	$432.37	$613.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $53.28 / $1,054.41	Professional		$25.34	$53.28	$1,054.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $367.90 / $567.35 / $1,085.27	Facility		$367.90	$567.35	$1,085.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $58.24 / $635.23	Professional		$18.29	$58.24	$635.23
United Facility/Professional Facility Modifier Low / Median / High Price $397.22 / $397.22 / $397.22	Facility		$397.22	$397.22	$397.22
United Facility/Professional Professional Modifier Low / Median / High Price $106.23 / $329.86 / $1,265.41	Professional		$106.23	$329.86	$1,265.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.51 / $18.51 / $482.19	Professional		$18.51	$18.51	$482.19