Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.21 / $455.95 / $13,809.00	Facility		$170.21	$455.95	$13,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.86 / $175.53 / $404.05	Professional		$109.86	$175.53	$404.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $244.04 / $1,130.00 / $2,499.04	Facility		$244.04	$1,130.00	$2,499.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $146.96 / $339.16 / $1,344.11	Professional		$146.96	$339.16	$1,344.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $564.00 / $906.00	Facility		$334.00	$564.00	$906.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.21 / $224.43 / $468.61	Professional		$120.21	$224.43	$468.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $139.19 / $252.33 / $455.33	Facility		$139.19	$252.33	$455.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $252.33 / $490.33	Professional		$139.19	$252.33	$490.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $251.08 / $441.36	Professional		$45.17	$251.08	$441.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $182.91 / $316.16 / $365.15	Facility		$182.91	$316.16	$365.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.57 / $239.18 / $244.04	Facility		$150.57	$239.18	$244.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $245.09 / $442.59	Professional		$134.88	$245.09	$442.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $732.75 / $1,129.34 / $2,161.55	Facility		$732.75	$1,129.34	$2,161.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $129.82 / $243.94 / $413.32	Professional		$129.82	$243.94	$413.32
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 $209.84 / $288.58 / $504.45	Professional		$209.84	$288.58	$504.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.38 / $95.38 / $193.64	Professional		$95.38	$95.38	$193.64