Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.20 / $521.51 / $14,464.32	Facility		$314.20	$521.51	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.98 / $314.20 / $617.17	Professional		$185.98	$314.20	$617.17
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 $323.86 / $507.40 / $1,800.56	Professional		$323.86	$507.40	$1,800.56
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 $203.93 / $394.72 / $709.79	Professional		$203.93	$394.72	$709.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $170.50 / $316.25 / $539.53	Facility		$170.50	$316.25	$539.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.38 / $321.86 / $539.53	Professional		$171.38	$321.86	$539.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.77 / $185.97 / $507.06	Professional		$35.77	$185.97	$507.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $404.80 / $493.12	Facility		$250.00	$404.80	$493.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $317.55 / $336.35	Facility		$77.31	$317.55	$336.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.64 / $474.20 / $602.69	Professional		$326.64	$474.20	$602.69
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 $283.27 / $430.86 / $597.60	Professional		$283.27	$430.86	$597.60
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 $224.90 / $361.35 / $695.17	Professional		$224.90	$361.35	$695.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $206.22 / $232.84 / $280.20	Professional		$206.22	$232.84	$280.20