Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.74 / $516.39 / $18,711.00	Facility		$294.74	$516.39	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.97 / $282.26 / $628.08	Professional		$150.97	$282.26	$628.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $271.73 / $751.52 / $1,455.83	Facility		$271.73	$751.52	$1,455.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $270.93 / $523.91 / $2,085.84	Professional		$270.93	$523.91	$2,085.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $337.60 / $337.60 / $337.60	Facility		$337.60	$337.60	$337.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.13 / $394.48 / $766.85	Professional		$199.13	$394.48	$766.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $183.04 / $334.85 / $631.41	Facility		$183.04	$334.85	$631.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.04 / $337.59 / $609.80	Professional		$183.04	$337.59	$609.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.62 / $403.85 / $717.66	Professional		$72.62	$403.85	$717.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $266.66 / $468.60 / $570.84	Facility		$266.66	$468.60	$570.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.49 / $360.14 / $389.36	Facility		$90.49	$360.14	$389.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.64 / $414.46 / $688.17	Professional		$265.64	$414.46	$688.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $550.49 / $761.06 / $1,455.83	Facility		$550.49	$761.06	$1,455.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $240.45 / $386.94 / $652.35	Professional		$240.45	$386.94	$652.35
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $269.00 / $5,793.00	Facility		$157.00	$269.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $303.99 / $442.53 / $784.71	Professional		$303.99	$442.53	$784.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.26 / $240.46 / $326.82	Professional		$177.26	$240.46	$326.82