Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.12 / $534.45 / $17,100.00	Facility		$235.12	$534.45	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.60 / $208.01 / $392.14	Professional		$123.60	$208.01	$392.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $280.14 / $1,993.85 / $5,158.68	Facility		$280.14	$1,993.85	$5,158.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $177.60 / $393.30 / $1,515.36	Professional		$177.60	$393.30	$1,515.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.15 / $421.10 / $731.00	Facility		$212.15	$421.10	$731.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.21 / $274.94 / $544.77	Professional		$160.21	$274.94	$544.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $165.58 / $280.00 / $512.91	Facility		$165.58	$280.00	$512.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.50 / $293.64 / $494.06	Professional		$173.50	$293.64	$494.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $238.67 / $473.38	Professional		$47.50	$238.67	$473.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $199.47 / $322.23 / $410.71	Facility		$199.47	$322.23	$410.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.56 / $274.97 / $280.14	Facility		$127.56	$274.97	$280.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.07 / $308.79 / $513.51	Professional		$179.07	$308.79	$513.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,292.92 / $1,992.71 / $3,814.01	Facility		$1,292.92	$1,992.71	$3,814.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $170.94 / $280.43 / $474.46	Professional		$170.94	$280.43	$474.46
United Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $887.00 / $4,611.00	Facility		$350.00	$887.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $233.50 / $308.76 / $579.60	Professional		$233.50	$308.76	$579.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $139.09 / $139.09 / $228.27	Professional		$139.09	$139.09	$228.27