Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.83 / $517.89 / $17,100.00	Facility		$279.83	$517.89	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.33 / $279.83 / $542.02	Professional		$172.33	$279.83	$542.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $509.46 / $1,558.33 / $11,500.00	Facility		$509.46	$1,558.33	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $275.93 / $442.33 / $1,625.12	Professional		$275.93	$442.33	$1,625.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $670.00 / $761.81	Facility		$625.25	$670.00	$761.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.37 / $336.92 / $641.55	Professional		$187.37	$336.92	$641.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $182.00 / $333.74 / $538.12	Facility		$182.00	$333.74	$538.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.95 / $326.97 / $528.17	Professional		$175.95	$326.97	$528.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $195.60 / $471.49	Professional		$36.47	$195.60	$471.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $235.28 / $367.83 / $443.54	Facility		$235.28	$367.83	$443.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.66 / $284.02 / $509.46	Facility		$169.66	$284.02	$509.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.62 / $400.62 / $539.27	Professional		$279.62	$400.62	$539.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,120.58 / $1,549.85 / $2,982.61	Facility		$1,120.58	$1,549.85	$2,982.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $250.45 / $371.41 / $531.73	Professional		$250.45	$371.41	$531.73
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.50 / $328.89 / $589.87	Professional		$218.50	$328.89	$589.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $184.69 / $195.66 / $252.09	Professional		$184.69	$195.66	$252.09