Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.43 / $675.89 / $14,464.32	Facility		$337.43	$675.89	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.16 / $323.44 / $641.12	Professional		$214.16	$323.44	$641.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $232.18 / $667.91 / $1,278.36	Facility		$232.18	$667.91	$1,278.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $351.12 / $569.30 / $2,030.33	Professional		$351.12	$569.30	$2,030.33
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 $260.54 / $458.82 / $789.94	Professional		$260.54	$458.82	$789.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $216.69 / $398.40 / $636.07	Facility		$216.69	$398.40	$636.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.65 / $399.48 / $636.07	Professional		$223.65	$399.48	$636.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.67 / $243.89 / $552.28	Professional		$50.67	$243.89	$552.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $343.44 / $488.43 / $538.67	Facility		$343.44	$488.43	$538.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $344.28 / $367.43	Facility		$77.31	$344.28	$367.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.43 / $538.41 / $663.61	Professional		$367.43	$538.41	$663.61
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 $323.39 / $489.69 / $649.89	Professional		$323.39	$489.69	$649.89
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 $316.91 / $421.89 / $740.32	Professional		$316.91	$421.89	$740.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.89 / $260.02 / $298.30	Professional		$223.89	$260.02	$298.30