Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.24 / $310.77 / $14,464.32	Facility		$148.24	$310.77	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.26 / $146.51 / $306.83	Professional		$98.26	$146.51	$306.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $160.36 / $493.51 / $12,000.00	Facility		$160.36	$493.51	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $152.28 / $269.75 / $1,010.71	Professional		$152.28	$269.75	$1,010.71
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 $124.89 / $186.65 / $342.13	Professional		$124.89	$186.65	$342.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $143.93 / $193.76 / $282.22	Facility		$143.93	$193.76	$282.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.19 / $222.90 / $300.38	Professional		$149.19	$222.90	$300.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.58 / $190.43 / $333.23	Professional		$33.58	$190.43	$333.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $171.99 / $220.59 / $237.18	Facility		$171.99	$220.59	$237.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.36 / $160.36 / $161.78	Facility		$160.36	$160.36	$161.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.41 / $247.29 / $305.42	Professional		$152.41	$247.29	$305.42
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 $148.85 / $210.40 / $291.02	Professional		$148.85	$210.40	$291.02
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 $147.69 / $185.68 / $342.92	Professional		$147.69	$185.68	$342.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $111.14 / $111.14 / $123.38	Professional		$111.14	$111.14	$123.38