Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.76 / $553.41 / $18,711.00	Facility		$317.76	$553.41	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.55 / $344.97 / $728.14	Professional		$176.55	$344.97	$728.14
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 $290.07 / $561.47 / $2,235.44	Professional		$290.07	$561.47	$2,235.44
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 $209.74 / $403.53 / $825.25	Professional		$209.74	$403.53	$825.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $180.40 / $330.21 / $648.20	Facility		$180.40	$330.21	$648.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.40 / $341.26 / $640.45	Professional		$180.40	$341.26	$640.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.68 / $455.45 / $807.85	Professional		$81.68	$455.45	$807.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $289.11 / $502.15 / $611.71	Facility		$289.11	$502.15	$611.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.49 / $385.96 / $417.24	Facility		$90.49	$385.96	$417.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.07 / $446.34 / $737.01	Professional		$286.07	$446.34	$737.01
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 $259.88 / $416.71 / $698.65	Professional		$259.88	$416.71	$698.65
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 $297.16 / $473.86 / $854.46	Professional		$297.16	$473.86	$854.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $191.93 / $258.39 / $350.96	Professional		$191.93	$258.39	$350.96