Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.11 / $469.83 / $14,464.32	Facility		$219.11	$469.83	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.09 / $165.18 / $341.59	Professional		$106.09	$165.18	$341.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $134.99 / $1,104.92 / $2,206.01	Facility		$134.99	$1,104.92	$2,206.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $165.98 / $349.60 / $1,347.84	Professional		$165.98	$349.60	$1,347.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.34 / $166.34 / $252.90	Facility		$166.34	$166.34	$252.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $252.47 / $481.64	Professional		$151.27	$252.47	$481.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $159.87 / $264.92 / $434.06	Facility		$159.87	$264.92	$434.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.04 / $269.23 / $434.06	Professional		$161.04	$269.23	$434.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.96 / $228.31 / $409.24	Professional		$40.96	$228.31	$409.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $203.41 / $330.98 / $363.81	Facility		$203.41	$330.98	$363.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.11 / $241.45 / $248.15	Facility		$102.11	$241.45	$248.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.91 / $284.26 / $454.87	Professional		$166.91	$284.26	$454.87
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 $158.47 / $246.25 / $420.28	Professional		$158.47	$246.25	$420.28
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 $212.52 / $275.76 / $513.00	Professional		$212.52	$275.76	$513.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $129.01 / $129.01 / $201.22	Professional		$129.01	$129.01	$201.22