Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.22 / $515.12 / $14,464.32	Facility		$247.22	$515.12	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.91 / $247.22 / $515.12	Professional		$176.91	$247.22	$515.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $232.18 / $662.22 / $1,477.97	Facility		$232.18	$662.22	$1,477.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $273.29 / $438.04 / $1,718.48	Professional		$273.29	$438.04	$1,718.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.18 / $281.18 / $281.18	Facility		$281.18	$281.18	$281.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.19 / $374.09 / $610.39	Professional		$191.19	$374.09	$610.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $174.58 / $309.38 / $471.24	Facility		$174.58	$309.38	$471.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.58 / $311.07 / $476.35	Professional		$174.58	$311.07	$476.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $191.86 / $436.77	Professional		$36.31	$191.86	$436.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $246.96 / $349.05 / $395.97	Facility		$246.96	$349.05	$395.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $255.49 / $270.08	Facility		$77.31	$255.49	$270.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.29 / $427.09 / $536.10	Professional		$273.29	$427.09	$536.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $433.36 / $667.91 / $1,278.36	Facility		$433.36	$667.91	$1,278.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $261.49 / $380.44 / $510.19	Professional		$261.49	$380.44	$510.19
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 $212.80 / $303.24 / $552.25	Professional		$212.80	$303.24	$552.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.09 / $220.36 / $223.92	Professional		$165.09	$220.36	$223.92