Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.95 / $593.75 / $14,464.32	Facility		$289.95	$593.75	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.30 / $285.45 / $587.16	Professional		$186.30	$285.45	$587.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $232.18 / $653.47 / $1,278.36	Facility		$232.18	$653.47	$1,278.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $278.98 / $449.01 / $1,440.00	Professional		$278.98	$449.01	$1,440.00
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 $216.81 / $369.16 / $586.20	Professional		$216.81	$369.16	$586.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $185.82 / $328.31 / $519.66	Facility		$185.82	$328.31	$519.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.82 / $333.15 / $522.23	Professional		$185.82	$333.15	$522.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.99 / $204.24 / $508.99	Professional		$36.99	$204.24	$508.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $277.20 / $386.59 / $429.76	Facility		$277.20	$386.59	$429.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $263.69 / $291.27	Facility		$77.31	$263.69	$291.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.42 / $414.66 / $526.75	Professional		$271.42	$414.66	$526.75
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 $253.18 / $374.09 / $508.27	Professional		$253.18	$374.09	$508.27
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 $245.00 / $352.82 / $641.09	Professional		$245.00	$352.82	$641.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $189.10 / $215.69 / $255.55	Professional		$189.10	$215.69	$255.55