Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.88 / $543.53 / $18,711.00	Facility		$307.88	$543.53	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.46 / $368.87 / $716.14	Professional		$170.46	$368.87	$716.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $159.13 / $446.53 / $854.16	Facility		$159.13	$446.53	$854.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $280.73 / $561.51 / $2,193.92	Professional		$280.73	$561.51	$2,193.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.65 / $200.65 / $200.65	Facility		$200.65	$200.65	$200.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.32 / $417.65 / $806.83	Professional		$216.32	$417.65	$806.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $151.94 / $359.57 / $686.82	Facility		$151.94	$359.57	$686.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $359.57 / $701.33	Professional		$159.19	$359.57	$701.33
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 $295.47 / $492.80 / $600.32	Facility		$295.47	$492.80	$600.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $378.26 / $409.47	Facility		$53.00	$378.26	$409.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.42 / $431.29 / $722.18	Professional		$276.42	$431.29	$722.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $341.08 / $455.04 / $854.16	Facility		$341.08	$455.04	$854.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $244.17 / $402.65 / $684.59	Professional		$244.17	$402.65	$684.59
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 $319.51 / $448.56 / $839.02	Professional		$319.51	$448.56	$839.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $185.48 / $253.16 / $344.51	Professional		$185.48	$253.16	$344.51