Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.29 / $488.58 / $18,711.00	Facility		$264.29	$488.58	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.65 / $316.64 / $689.18	Professional		$146.65	$316.64	$689.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $271.73 / $713.37 / $1,455.83	Facility		$271.73	$713.37	$1,455.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $244.46 / $491.36 / $1,965.28	Professional		$244.46	$491.36	$1,965.28
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 $185.34 / $363.99 / $723.79	Professional		$185.34	$363.99	$723.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $161.13 / $305.86 / $594.27	Facility		$161.13	$305.86	$594.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.13 / $308.02 / $571.36	Professional		$161.13	$308.02	$571.36
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 $265.60 / $453.06 / $538.01	Facility		$265.60	$453.06	$538.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.49 / $338.39 / $366.97	Facility		$90.49	$338.39	$366.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.82 / $377.73 / $644.55	Professional		$237.82	$377.73	$644.55
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 $214.20 / $345.11 / $611.01	Professional		$214.20	$345.11	$611.01
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 $233.31 / $376.61 / $707.47	Professional		$233.31	$376.61	$707.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $159.78 / $226.93 / $309.74	Professional		$159.78	$226.93	$309.74