Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.82 / $613.20 / $17,100.00	Facility		$283.82	$613.20	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.41 / $243.28 / $530.50	Professional		$147.41	$243.28	$530.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $173.84 / $1,104.92 / $2,161.55	Facility		$173.84	$1,104.92	$2,161.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $215.26 / $457.71 / $1,761.36	Professional		$215.26	$457.71	$1,761.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.75 / $421.10 / $731.00	Facility		$223.75	$421.10	$731.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.53 / $327.55 / $628.62	Professional		$195.53	$327.55	$628.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $206.97 / $344.60 / $566.75	Facility		$206.97	$344.60	$566.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $215.06 / $350.54 / $566.75	Professional		$215.06	$350.54	$566.75
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 $268.33 / $433.49 / $475.03	Facility		$268.33	$433.49	$475.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.24 / $315.74 / $324.01	Facility		$130.24	$315.74	$324.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.44 / $364.46 / $593.92	Professional		$215.44	$364.46	$593.92
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 $205.59 / $322.01 / $548.77	Professional		$205.59	$322.01	$548.77
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 $279.72 / $365.82 / $671.64	Professional		$279.72	$365.82	$671.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $166.06 / $166.06 / $262.74	Professional		$166.06	$166.06	$262.74