Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.80 / $500.53 / $17,930.00	Facility		$245.80	$500.53	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.53 / $185.13 / $421.69	Professional		$119.53	$185.13	$421.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $248.70 / $620.66 / $26,542.00	Facility		$248.70	$620.66	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $367.38 / $1,366.64	Professional		$192.00	$367.38	$1,366.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $421.10 / $731.00 / $731.00	Facility		$421.10	$731.00	$731.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.04 / $277.44 / $486.13	Professional		$171.04	$277.44	$486.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $184.45 / $293.04 / $442.17	Facility		$184.45	$293.04	$442.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.13 / $302.73 / $467.68	Professional		$191.13	$302.73	$467.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $250.50 / $441.36	Professional		$45.17	$250.50	$441.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $219.49 / $332.86 / $371.18	Facility		$219.49	$332.86	$371.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $248.70 / $248.70 / $253.18	Facility		$248.70	$248.70	$253.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $321.29 / $464.09	Professional		$192.00	$321.29	$464.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $580.97 / $580.97 / $731.93	Facility		$580.97	$580.97	$731.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $184.80 / $267.00 / $439.52	Professional		$184.80	$267.00	$439.52
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 $228.90 / $283.39 / $536.80	Professional		$228.90	$283.39	$536.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $143.66 / $143.66 / $201.28	Professional		$143.66	$143.66	$201.28