Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.40 / $515.86 / $14,464.32	Facility		$255.40	$515.86	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.72 / $255.40 / $523.24	Professional		$170.72	$255.40	$523.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $232.18 / $662.22 / $1,278.36	Facility		$232.18	$662.22	$1,278.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $267.04 / $430.56 / $1,546.28	Professional		$267.04	$430.56	$1,546.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.56 / $286.56 / $286.56	Facility		$286.56	$286.56	$286.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.35 / $352.91 / $613.14	Professional		$196.35	$352.91	$613.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $181.16 / $312.11 / $480.28	Facility		$181.16	$312.11	$480.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.97 / $312.11 / $479.52	Professional		$178.97	$312.11	$479.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $172.81 / $456.29	Professional		$36.04	$172.81	$456.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $267.44 / $369.84 / $405.35	Facility		$267.44	$369.84	$405.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $261.83 / $276.49	Facility		$77.31	$261.83	$276.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.49 / $404.32 / $506.81	Professional		$276.49	$404.32	$506.81
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 $250.40 / $370.09 / $494.03	Professional		$250.40	$370.09	$494.03
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 $239.51 / $334.20 / $597.54	Professional		$239.51	$334.20	$597.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $168.13 / $201.82 / $225.89	Professional		$168.13	$201.82	$225.89