Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.58 / $689.99 / $14,464.32	Facility		$288.58	$689.99	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.02 / $314.38 / $689.99	Professional		$156.02	$314.38	$689.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $351.53 / $4,306.60 / $8,788.86	Facility		$351.53	$4,306.60	$8,788.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $263.98 / $494.39 / $1,905.84	Professional		$263.98	$494.39	$1,905.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.64 / $500.00 / $568.48	Facility		$397.64	$500.00	$568.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.67 / $380.48 / $730.34	Professional		$196.67	$380.48	$730.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $194.37 / $349.33 / $668.85	Facility		$194.37	$349.33	$668.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.37 / $349.36 / $624.63	Professional		$194.37	$349.36	$624.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $203.70 / $537.37	Professional		$37.39	$203.70	$537.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $293.60 / $478.15 / $521.55	Facility		$293.60	$478.15	$521.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.47 / $351.53 / $403.81	Facility		$134.47	$351.53	$403.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.52 / $397.72 / $643.46	Professional		$260.52	$397.72	$643.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,979.36 / $4,591.92 / $8,788.86	Facility		$2,979.36	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $236.25 / $377.02 / $623.36	Professional		$236.25	$377.02	$623.36
United Facility/Professional Facility Modifier Low / Median / High Price $472.00 / $938.00 / $4,611.00	Facility		$472.00	$938.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $303.16 / $402.61 / $733.40	Professional		$303.16	$402.61	$733.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.36 / $210.92 / $285.38	Professional		$169.36	$210.92	$285.38