Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.09 / $814.75 / $14,464.32	Facility		$453.09	$814.75	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.66 / $354.01 / $752.02	Professional		$238.66	$354.01	$752.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $224.92 / $1,130.00 / $2,206.01	Facility		$224.92	$1,130.00	$2,206.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $385.44 / $723.05 / $2,580.08	Professional		$385.44	$723.05	$2,580.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $317.98 / $483.46 / $731.00	Facility		$317.98	$483.46	$731.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.23 / $526.01 / $940.86	Professional		$342.23	$526.01	$940.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $331.39 / $523.20 / $842.82	Facility		$331.39	$523.20	$842.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $336.97 / $550.04 / $863.48	Professional		$336.97	$550.04	$863.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $182.89 / $663.95	Professional		$35.74	$182.89	$663.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $391.95 / $633.82 / $696.80	Facility		$391.95	$633.82	$696.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.57 / $457.08 / $475.28	Facility		$150.57	$457.08	$475.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.57 / $646.70 / $871.21	Professional		$390.57	$646.70	$871.21
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 $370.99 / $540.54 / $826.80	Professional		$370.99	$540.54	$826.80
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 $419.61 / $512.14 / $992.53	Professional		$419.61	$512.14	$992.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $304.74 / $304.74 / $385.64	Professional		$304.74	$304.74	$385.64