Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.14 / $690.20 / $6,470.00	Facility		$241.14	$690.20	$6,470.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.86 / $265.49 / $716.28	Professional		$124.86	$265.49	$716.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $202.29 / $567.35 / $1,254.72	Facility		$202.29	$567.35	$1,254.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $238.51 / $628.13 / $2,545.28	Professional		$238.51	$628.13	$2,545.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.90 / $252.90 / $252.90	Facility		$252.90	$252.90	$252.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.70 / $378.41 / $980.07	Professional		$175.70	$378.41	$980.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $159.87 / $308.18 / $665.86	Facility		$159.87	$308.18	$665.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.87 / $310.44 / $665.86	Professional		$159.87	$310.44	$665.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $284.26 / $754.44	Professional		$37.39	$284.26	$754.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $262.64 / $551.86 / $694.12	Facility		$262.64	$551.86	$694.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.37 / $473.45 / $477.92	Facility		$67.37	$473.45	$477.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.32 / $453.25 / $867.86	Professional		$235.32	$453.25	$867.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $367.90 / $567.35 / $1,085.27	Facility		$367.90	$567.35	$1,085.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $208.43 / $441.40 / $798.60	Professional		$208.43	$441.40	$798.60
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 $325.42 / $482.72 / $1,007.01	Professional		$325.42	$482.72	$1,007.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $157.66 / $277.17 / $383.78	Professional		$157.66	$277.17	$383.78