Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.21 / $423.58 / $14,464.32	Facility		$232.21	$423.58	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.55 / $180.98 / $390.92	Professional		$121.55	$180.98	$390.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $244.50 / $1,130.00 / $2,499.04	Facility		$244.50	$1,130.00	$2,499.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $199.20 / $370.22 / $1,316.80	Professional		$199.20	$370.22	$1,316.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $507.81 / $731.00	Facility		$334.00	$507.81	$731.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.53 / $263.94 / $479.08	Professional		$176.53	$263.94	$479.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $178.20 / $287.10 / $453.73	Facility		$178.20	$287.10	$453.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $294.55 / $457.90	Professional		$195.00	$294.55	$457.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $227.72 / $406.26	Professional		$40.26	$227.72	$406.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.13 / $310.70 / $358.45	Facility		$218.13	$310.70	$358.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.57 / $239.18 / $244.50	Facility		$150.57	$239.18	$244.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.75 / $331.62 / $448.17	Professional		$199.75	$331.62	$448.17
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 $191.73 / $276.45 / $426.63	Professional		$191.73	$276.45	$426.63
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 $200.90 / $262.20 / $535.19	Professional		$200.90	$262.20	$535.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $153.33 / $153.33 / $194.77	Professional		$153.33	$153.33	$194.77