Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.74 / $538.91 / $14,464.32	Facility		$252.74	$538.91	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.51 / $191.81 / $411.13	Professional		$125.51	$191.81	$411.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $151.47 / $1,104.92 / $2,206.01	Facility		$151.47	$1,104.92	$2,206.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $190.08 / $399.45 / $1,540.08	Professional		$190.08	$399.45	$1,540.08
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 $174.26 / $290.87 / $549.67	Professional		$174.26	$290.87	$549.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $179.22 / $304.88 / $494.76	Facility		$179.22	$304.88	$494.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.29 / $309.56 / $494.76	Professional		$179.29	$309.56	$494.76
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 $233.96 / $380.56 / $415.40	Facility		$233.96	$380.56	$415.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.17 / $275.88 / $283.33	Facility		$115.17	$275.88	$283.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.92 / $321.29 / $519.37	Professional		$191.92	$321.29	$519.37
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 $182.95 / $281.36 / $479.88	Professional		$182.95	$281.36	$479.88
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 $244.44 / $305.66 / $586.14	Professional		$244.44	$305.66	$586.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $148.13 / $148.13 / $229.42	Professional		$148.13	$148.13	$229.42