Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.73 / $872.28 / $14,464.32	Facility		$454.73	$872.28	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.87 / $454.73 / $936.16	Professional		$287.87	$454.73	$936.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $400.01 / $694.04 / $11,500.00	Facility		$400.01	$694.04	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $472.63 / $757.02 / $2,764.73	Professional		$472.63	$757.02	$2,764.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.39 / $500.00 / $568.48	Facility		$305.39	$500.00	$568.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.13 / $590.71 / $1,072.33	Professional		$329.13	$590.71	$1,072.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $235.16 / $503.54 / $817.94	Facility		$235.16	$503.54	$817.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.76 / $509.24 / $835.45	Professional		$257.76	$509.24	$835.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $237.66 / $692.03	Professional		$39.46	$237.66	$692.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $394.94 / $620.41 / $713.55	Facility		$394.94	$620.41	$713.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $463.42 / $486.71	Facility		$77.31	$463.42	$486.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $486.71 / $715.68 / $890.44	Professional		$486.71	$715.68	$890.44
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 $440.38 / $654.16 / $868.18	Professional		$440.38	$654.16	$868.18
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 $358.86 / $555.64 / $993.70	Professional		$358.86	$555.64	$993.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $297.60 / $356.75 / $401.74	Professional		$297.60	$356.75	$401.74