Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.98 / $663.78 / $18,711.00	Facility		$359.98	$663.78	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.82 / $431.29 / $869.84	Professional		$199.82	$431.29	$869.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $271.73 / $761.06 / $1,455.83	Facility		$271.73	$761.06	$1,455.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $329.89 / $677.99 / $2,657.84	Professional		$329.89	$677.99	$2,657.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $337.60 / $500.00 / $568.48	Facility		$337.60	$500.00	$568.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.97 / $477.23 / $990.28	Professional		$252.97	$477.23	$990.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $200.49 / $376.04 / $768.26	Facility		$200.49	$376.04	$768.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.49 / $381.98 / $768.26	Professional		$200.49	$381.98	$768.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.90 / $549.14 / $968.92	Professional		$96.90	$549.14	$968.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $349.74 / $609.40 / $742.36	Facility		$349.74	$609.40	$742.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.49 / $467.50 / $506.36	Facility		$90.49	$467.50	$506.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.64 / $521.20 / $885.10	Professional		$328.64	$521.20	$885.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $493.52 / $761.06 / $1,455.83	Facility		$493.52	$761.06	$1,455.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $292.52 / $476.80 / $841.53	Professional		$292.52	$476.80	$841.53
United Facility/Professional Facility Modifier Low / Median / High Price $546.00 / $949.88 / $1,827.82	Facility		$546.00	$949.88	$1,827.82
United Facility/Professional Professional Modifier Low / Median / High Price $351.92 / $524.04 / $975.51	Professional		$351.92	$524.04	$975.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $217.04 / $311.68 / $421.85	Professional		$217.04	$311.68	$421.85