Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.69 / $683.23 / $14,464.32	Facility		$311.69	$683.23	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.51 / $313.08 / $728.66	Professional		$150.51	$313.08	$728.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $794.60 / $4,591.92 / $11,500.00	Facility		$794.60	$4,591.92	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $284.06 / $571.76 / $2,228.40	Professional		$284.06	$571.76	$2,228.40
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 $211.42 / $412.95 / $853.29	Professional		$211.42	$412.95	$853.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $200.47 / $395.85 / $1,130.32	Facility		$200.47	$395.85	$1,130.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.47 / $395.54 / $941.59	Professional		$200.47	$395.54	$941.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.68 / $316.32 / $686.36	Professional		$45.68	$316.32	$686.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $296.81 / $496.18 / $609.70	Facility		$296.81	$496.18	$609.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.45 / $410.87 / $700.99	Facility		$233.45	$410.87	$700.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.95 / $436.60 / $757.65	Professional		$280.95	$436.60	$757.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,520.19 / $4,492.60 / $8,788.86	Facility		$2,520.19	$4,492.60	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $269.19 / $419.03 / $722.97	Professional		$269.19	$419.03	$722.97
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 $293.08 / $448.32 / $832.72	Professional		$293.08	$448.32	$832.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $188.12 / $249.29 / $340.84	Professional		$188.12	$249.29	$340.84