Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.04 / $539.76 / $14,464.32	Facility		$241.04	$539.76	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.31 / $191.15 / $356.92	Professional		$119.31	$191.15	$356.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $157.36 / $1,104.92 / $2,161.55	Facility		$157.36	$1,104.92	$2,161.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $183.93 / $401.36 / $1,548.96	Professional		$183.93	$401.36	$1,548.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.09 / $203.09 / $308.77	Facility		$203.09	$203.09	$308.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.03 / $280.33 / $553.79	Professional		$167.03	$280.33	$553.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $178.20 / $296.16 / $484.91	Facility		$178.20	$296.16	$484.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.29 / $299.54 / $499.00	Professional		$186.29	$299.54	$499.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.65 / $279.63 / $494.90	Professional		$49.65	$279.63	$494.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $234.77 / $381.90 / $418.08	Facility		$234.77	$381.90	$418.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.52 / $277.69 / $285.17	Facility		$119.52	$277.69	$285.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.93 / $318.05 / $522.72	Professional		$183.93	$318.05	$522.72
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 $175.10 / $283.20 / $482.98	Professional		$175.10	$283.20	$482.98
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 $245.28 / $312.49 / $598.61	Professional		$245.28	$312.49	$598.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $142.38 / $231.97	Professional		$142.38	$142.38	$231.97