Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.37 / $548.70 / $14,464.32	Facility		$253.37	$548.70	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $193.90 / $376.90	Professional		$133.00	$193.90	$376.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $155.00 / $1,104.92 / $2,206.01	Facility		$155.00	$1,104.92	$2,206.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $191.49 / $405.92 / $1,567.28	Professional		$191.49	$405.92	$1,567.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.56 / $200.56 / $304.94	Facility		$200.56	$200.56	$304.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.13 / $292.95 / $559.59	Professional		$175.13	$292.95	$559.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $187.44 / $308.83 / $503.23	Facility		$187.44	$308.83	$503.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.78 / $313.31 / $503.23	Professional		$192.78	$313.31	$503.23
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 $236.21 / $387.26 / $422.77	Facility		$236.21	$387.26	$422.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.85 / $280.41 / $288.37	Facility		$117.85	$280.41	$288.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.86 / $323.22 / $528.59	Professional		$192.86	$323.22	$528.59
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 $183.88 / $285.98 / $488.39	Professional		$183.88	$285.98	$488.39
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 $248.64 / $310.30 / $605.36	Professional		$248.64	$310.30	$605.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $148.86 / $148.86 / $233.70	Professional		$148.86	$148.86	$233.70