Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.04 / $646.52 / $14,464.32	Facility		$310.04	$646.52	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.94 / $233.25 / $461.80	Professional		$161.94	$233.25	$461.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $173.84 / $1,130.00 / $2,206.01	Facility		$173.84	$1,130.00	$2,206.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $233.36 / $476.00 / $1,832.96	Professional		$233.36	$476.00	$1,832.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.24 / $421.10 / $731.00	Facility		$224.24	$421.10	$731.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.44 / $347.82 / $652.79	Professional		$213.44	$347.82	$652.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $220.54 / $356.42 / $586.51	Facility		$220.54	$356.42	$586.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $228.15 / $372.96 / $586.51	Professional		$228.15	$372.96	$586.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $329.93 / $579.56	Professional		$58.29	$329.93	$579.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $278.10 / $451.95 / $493.79	Facility		$278.10	$451.95	$493.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.25 / $327.52 / $336.81	Facility		$133.25	$327.52	$336.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.20 / $394.27 / $617.38	Professional		$235.20	$394.27	$617.38
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 $224.53 / $334.03 / $570.44	Professional		$224.53	$334.03	$570.44
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 $292.73 / $369.76 / $697.29	Professional		$292.73	$369.76	$697.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.64 / $181.64 / $272.39	Professional		$181.64	$181.64	$272.39