Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.96 / $2,769.52 / $18,711.00	Facility		$228.96	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $172.12 / $345.70	Professional		$107.15	$172.12	$345.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $180.75 / $662.22 / $1,292.89	Facility		$180.75	$662.22	$1,292.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $187.33 / $305.88 / $1,175.40	Professional		$187.33	$305.88	$1,175.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.39 / $765.00 / $870.49	Facility		$305.39	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.52 / $242.80 / $410.33	Professional		$131.52	$242.80	$410.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $125.78 / $226.46 / $339.58	Facility		$125.78	$226.46	$339.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.19 / $229.17 / $332.67	Professional		$124.19	$229.17	$332.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.26 / $203.45 / $356.23	Professional		$36.26	$203.45	$356.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.31 / $246.56 / $270.68	Facility		$162.31	$246.56	$270.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $180.75 / $232.18	Facility		$77.31	$180.75	$232.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.51 / $295.26 / $366.47	Professional		$206.51	$295.26	$366.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $487.64 / $667.91 / $1,278.36	Facility		$487.64	$667.91	$1,278.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $184.34 / $262.20 / $349.86	Professional		$184.34	$262.20	$349.86
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 $150.74 / $202.40 / $388.14	Professional		$150.74	$202.40	$388.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $111.26 / $111.26 / $146.83	Professional		$111.26	$111.26	$146.83