Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.44 / $308.81 / $1,274.51	Facility		$74.44	$308.81	$1,274.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.07 / $123.33 / $306.27	Professional		$63.07	$123.33	$306.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $249.58 / $567.02 / $1,107.58	Facility		$249.58	$567.02	$1,107.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $217.28 / $923.60	Professional		$91.00	$217.28	$923.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.38 / $144.80 / $303.02	Professional		$74.38	$144.80	$303.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $83.04 / $157.91 / $308.45	Facility		$83.04	$157.91	$308.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.03 / $156.91 / $302.20	Professional		$85.03	$156.91	$302.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $150.05 / $267.18	Professional		$27.01	$150.05	$267.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $111.87 / $206.36 / $230.48	Facility		$111.87	$206.36	$230.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.66 / $152.66 / $157.21	Facility		$152.66	$152.66	$157.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.52 / $157.21 / $285.06	Professional		$83.52	$157.21	$285.06
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 $80.39 / $153.87 / $274.02	Professional		$80.39	$153.87	$274.02
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 $135.88 / $187.50 / $330.19	Professional		$135.88	$187.50	$330.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $60.32 / $126.22	Professional		$60.32	$60.32	$126.22