Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.38 / $1,007.17 / $11,522.02	Facility		$323.38	$1,007.17	$11,522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.23 / $343.49 / $682.95	Professional		$209.23	$343.49	$682.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $535.15 / $1,173.53 / $2,499.04	Facility		$535.15	$1,173.53	$2,499.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $340.32 / $747.10 / $2,874.56	Professional		$340.32	$747.10	$2,874.56
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 $307.12 / $521.88 / $1,035.06	Professional		$307.12	$521.88	$1,035.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $310.05 / $515.55 / $899.49	Facility		$310.05	$515.55	$899.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $321.04 / $550.04 / $938.71	Professional		$321.04	$550.04	$938.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $431.18 / $945.64	Professional		$45.60	$431.18	$945.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $359.40 / $664.05 / $784.57	Facility		$359.40	$664.05	$784.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.57 / $527.75 / $535.15	Facility		$150.57	$527.75	$535.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.32 / $594.03 / $980.95	Professional		$340.32	$594.03	$980.95
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 $327.56 / $538.23 / $906.35	Professional		$327.56	$538.23	$906.35
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 $453.49 / $590.22 / $1,130.59	Professional		$453.49	$590.22	$1,130.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $260.56 / $260.56 / $433.41	Professional		$260.56	$260.56	$433.41