Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.14 / $753.29 / $14,464.32	Facility		$291.14	$753.29	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.71 / $273.80 / $703.83	Professional		$156.71	$273.80	$703.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $367.43 / $4,306.60 / $8,788.86	Facility		$367.43	$4,306.60	$8,788.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $271.39 / $511.50 / $1,981.84	Professional		$271.39	$511.50	$1,981.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,677.65	Facility		$466.83	$568.48	$1,677.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.16 / $374.74 / $755.54	Professional		$201.16	$374.74	$755.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $192.70 / $376.96 / $1,258.98	Facility		$192.70	$376.96	$1,258.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.70 / $375.08 / $865.71	Professional		$192.70	$375.08	$865.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.75 / $275.99 / $601.87	Professional		$44.75	$275.99	$601.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $290.56 / $490.60 / $538.67	Facility		$290.56	$490.60	$538.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.31 / $367.43 / $1,323.75	Facility		$363.31	$367.43	$1,323.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.10 / $402.95 / $670.13	Professional		$261.10	$402.95	$670.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,264.85 / $4,591.92 / $8,788.86	Facility		$3,264.85	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $247.60 / $387.61 / $659.04	Professional		$247.60	$387.61	$659.04
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $254.80 / $382.50 / $733.00	Professional		$254.80	$382.50	$733.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $170.23 / $219.20 / $297.69	Professional		$170.23	$219.20	$297.69