Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.72 / $5,116.62 / $20,680.40	Facility		$197.72	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.84 / $197.72 / $260.95	Professional		$119.84	$197.72	$260.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $211.38 / $257.72 / $507.30	Facility		$211.38	$257.72	$507.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $234.70 / $425.55 / $1,482.15	Professional		$234.70	$425.55	$1,482.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $1,110.00	Facility		$644.92	$1,110.00	$1,110.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $519.75 / $519.75 / $519.75	Professional		$519.75	$519.75	$519.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $222.60 / $325.62 / $340.36	Facility		$222.60	$325.62	$340.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.16 / $232.16 / $255.49	Facility		$232.16	$232.16	$255.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.76 / $385.78 / $476.15	Professional		$238.76	$385.78	$476.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $211.38 / $253.65 / $481.94	Facility		$211.38	$253.65	$481.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $231.95 / $312.17 / $449.83	Professional		$231.95	$312.17	$449.83
United Facility/Professional Facility Modifier Low / Median / High Price $501.00 / $1,120.00 / $5,793.00	Facility		$501.00	$1,120.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.89 / $299.22 / $537.10	Professional		$236.89	$299.22	$537.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $392.87 / $392.87 / $392.87	Professional		$392.87	$392.87	$392.87