Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.34 / $553.61 / $18,711.00	Facility		$331.34	$553.61	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.66 / $382.48 / $765.54	Professional		$182.66	$382.48	$765.54
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 $302.75 / $552.66 / $2,232.23	Professional		$302.75	$552.66	$2,232.23
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 $224.30 / $422.28 / $854.20	Professional		$224.30	$422.28	$854.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $209.04 / $369.07 / $720.82	Facility		$209.04	$369.07	$720.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.04 / $381.60 / $710.93	Professional		$209.04	$381.60	$710.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.54 / $447.98 / $788.11	Professional		$79.54	$447.98	$788.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $313.26 / $510.54 / $611.04	Facility		$313.26	$510.54	$611.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.49 / $387.77 / $416.78	Facility		$90.49	$387.77	$416.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.69 / $457.25 / $738.75	Professional		$299.69	$457.25	$738.75
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 $271.95 / $434.90 / $700.30	Professional		$271.95	$434.90	$700.30
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 $313.26 / $460.32 / $842.65	Professional		$313.26	$460.32	$842.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $198.10 / $257.30 / $348.06	Professional		$198.10	$257.30	$348.06