Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.95 / $457.13 / $14,464.32	Facility		$200.95	$457.13	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.46 / $172.64 / $439.86	Professional		$98.46	$172.64	$439.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $153.04 / $1,740.33 / $3,404.60	Facility		$153.04	$1,740.33	$3,404.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $160.41 / $354.87 / $1,481.52	Professional		$160.41	$354.87	$1,481.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.11 / $207.11 / $314.88	Facility		$207.11	$207.11	$314.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.66 / $252.63 / $534.95	Professional		$144.66	$252.63	$534.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $250.25 / $465.12	Facility		$157.00	$250.25	$465.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.37 / $254.82 / $445.19	Professional		$159.37	$254.82	$445.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.32 / $299.56 / $531.02	Professional		$54.32	$299.56	$531.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $197.20 / $323.61 / $404.68	Facility		$197.20	$323.61	$404.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.78 / $262.74 / $276.02	Facility		$101.78	$262.74	$276.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.27 / $280.85 / $496.28	Professional		$160.27	$280.85	$496.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,154.13 / $1,778.80 / $3,404.60	Facility		$1,154.13	$1,778.80	$3,404.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $148.76 / $267.95 / $458.74	Professional		$148.76	$267.95	$458.74
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.00 / $282.77 / $557.10	Professional		$227.00	$282.77	$557.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.09 / $123.09 / $224.51	Professional		$123.09	$123.09	$224.51