Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.73 / $654.91 / $14,464.32	Facility		$292.73	$654.91	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.11 / $323.61 / $654.91	Professional		$161.11	$323.61	$654.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $271.73 / $742.36 / $1,455.83	Facility		$271.73	$742.36	$1,455.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $265.72 / $483.61 / $1,877.68	Professional		$265.72	$483.61	$1,877.68
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 $203.57 / $374.14 / $718.42	Professional		$203.57	$374.14	$718.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $191.33 / $337.33 / $616.41	Facility		$191.33	$337.33	$616.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.33 / $342.41 / $600.63	Professional		$191.33	$342.41	$600.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $353.27 / $625.40	Professional		$63.51	$353.27	$625.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $280.32 / $465.05 / $513.89	Facility		$280.32	$465.05	$513.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.49 / $326.61 / $350.52	Facility		$90.49	$326.61	$350.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.23 / $400.42 / $622.62	Professional		$262.23	$400.42	$622.62
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 $237.83 / $376.71 / $592.49	Professional		$237.83	$376.71	$592.49
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 $288.51 / $414.49 / $721.24	Professional		$288.51	$414.49	$721.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $175.18 / $216.44 / $292.77	Professional		$175.18	$216.44	$292.77