Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.52 / $770.70 / $17,100.00	Facility		$388.52	$770.70	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.50 / $355.49 / $768.54	Professional		$222.50	$355.49	$768.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $232.18 / $662.22 / $1,292.89	Facility		$232.18	$662.22	$1,292.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $395.68 / $627.66 / $3,297.25	Professional		$395.68	$627.66	$3,297.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.39 / $305.39 / $305.39	Facility		$305.39	$305.39	$305.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.31 / $501.77 / $886.97	Professional		$279.31	$501.77	$886.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $224.00 / $449.50 / $745.92	Facility		$224.00	$449.50	$745.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.17 / $450.57 / $731.91	Professional		$229.17	$450.57	$731.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.12 / $445.46 / $791.53	Professional		$80.12	$445.46	$791.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $392.96 / $571.51 / $644.54	Facility		$392.96	$571.51	$644.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $414.50 / $439.63	Facility		$77.31	$414.50	$439.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.00 / $574.22 / $790.16	Professional		$401.00	$574.22	$790.16
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 $351.50 / $527.78 / $751.91	Professional		$351.50	$527.78	$751.91
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 $370.49 / $499.90 / $880.96	Professional		$370.49	$499.90	$880.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $252.89 / $267.77 / $347.60	Professional		$252.89	$267.77	$347.60