Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.74 / $995.41 / $14,464.32	Facility		$321.74	$995.41	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.49 / $352.80 / $849.20	Professional		$171.49	$352.80	$849.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $543.37 / $1,070.69	Facility		$55.00	$543.37	$1,070.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $245.79 / $657.31 / $2,945.68	Professional		$245.79	$657.31	$2,945.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $421.10 / $731.00 / $731.00	Facility		$421.10	$731.00	$731.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.40 / $471.93 / $1,058.97	Professional		$229.40	$471.93	$1,058.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $258.39 / $449.86 / $908.84	Facility		$258.39	$449.86	$908.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $258.50 / $473.33 / $962.71	Professional		$258.50	$473.33	$962.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.78 / $550.26 / $978.50	Professional		$99.78	$550.26	$978.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $372.60 / $690.10 / $796.63	Facility		$372.60	$690.10	$796.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $525.03 / $525.03 / $543.37	Facility		$525.03	$525.03	$543.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.79 / $516.46 / $985.20	Professional		$245.79	$516.46	$985.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $849.85 / $849.85 / $1,070.69	Facility		$849.85	$849.85	$1,070.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $235.16 / $455.14 / $920.23	Professional		$235.16	$455.14	$920.23
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 $452.30 / $550.41 / $1,141.23	Professional		$452.30	$550.41	$1,141.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $184.52 / $184.52 / $445.37	Professional		$184.52	$184.52	$445.37