Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.17 / $567.53 / $17,100.00	Facility		$249.17	$567.53	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.13 / $212.26 / $556.79	Professional		$119.13	$212.26	$556.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $277.69 / $610.08 / $16,394.00	Facility		$277.69	$610.08	$16,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $191.52 / $372.27 / $2,266.96	Professional		$191.52	$372.27	$2,266.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $906.00 / $906.00	Facility		$564.00	$906.00	$906.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.33 / $288.12 / $541.59	Professional		$170.33	$288.12	$541.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $190.08 / $308.38 / $500.61	Facility		$190.08	$308.38	$500.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.50 / $317.48 / $526.04	Professional		$194.50	$317.48	$526.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.26 / $300.91 / $533.54	Professional		$54.26	$300.91	$533.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $246.02 / $395.85 / $416.84	Facility		$246.02	$395.85	$416.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $277.69 / $277.69 / $280.60	Facility		$277.69	$277.69	$280.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.52 / $318.91 / $514.35	Professional		$191.52	$318.91	$514.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,568.04 / $2,568.04 / $3,235.34	Facility		$2,568.04	$2,568.04	$3,235.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $184.34 / $283.20 / $475.24	Professional		$184.34	$283.20	$475.24
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 $251.58 / $314.07 / $601.70	Professional		$251.58	$314.07	$601.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $142.35 / $142.35 / $224.43	Professional		$142.35	$142.35	$224.43