Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.16 / $778.49 / $13,809.00	Facility		$340.16	$778.49	$13,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.65 / $256.35 / $630.20	Professional		$164.65	$256.35	$630.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $737.69 / $4,492.60 / $10,161.06	Facility		$737.69	$4,492.60	$10,161.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $259.68 / $524.24 / $1,967.20	Professional		$259.68	$524.24	$1,967.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $906.00 / $1,677.65	Facility		$564.00	$906.00	$1,677.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.86 / $382.30 / $704.04	Professional		$234.86	$382.30	$704.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $256.50 / $417.71 / $1,130.32	Facility		$256.50	$417.71	$1,130.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $264.95 / $427.28 / $861.22	Professional		$264.95	$427.28	$861.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $348.86 / $642.13	Professional		$63.90	$348.86	$642.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $362.41 / $563.03 / $1,241.24	Facility		$362.41	$563.03	$1,241.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $357.42 / $364.23 / $737.69	Facility		$357.42	$364.23	$737.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.68 / $434.09 / $667.65	Professional		$259.68	$434.09	$667.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,264.85 / $4,591.92 / $8,788.86	Facility		$3,264.85	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $249.94 / $368.15 / $616.88	Professional		$249.94	$368.15	$616.88
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $1,442.71 / $6,857.00	Facility		$629.00	$1,442.71	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $324.99 / $403.53 / $765.65	Professional		$324.99	$403.53	$765.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $198.70 / $198.70 / $293.41	Professional		$198.70	$198.70	$293.41