Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.58 / $728.66 / $17,100.00	Facility		$325.58	$728.66	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.46 / $356.56 / $728.66	Professional		$180.46	$356.56	$728.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $271.73 / $760.63 / $1,455.83	Facility		$271.73	$760.63	$1,455.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $298.27 / $538.57 / $2,073.12	Professional		$298.27	$538.57	$2,073.12
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 $220.32 / $406.43 / $792.75	Professional		$220.32	$406.43	$792.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $209.61 / $367.44 / $669.16	Facility		$209.61	$367.44	$669.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.61 / $377.65 / $662.04	Professional		$209.61	$377.65	$662.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.74 / $403.85 / $717.66	Professional		$72.74	$403.85	$717.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $312.35 / $514.55 / $567.49	Facility		$312.35	$514.55	$567.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.49 / $361.04 / $387.08	Facility		$90.49	$361.04	$387.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.02 / $447.10 / $686.80	Professional		$294.02	$447.10	$686.80
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 $267.23 / $421.63 / $654.00	Professional		$267.23	$421.63	$654.00
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 $307.20 / $437.76 / $795.57	Professional		$307.20	$437.76	$795.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $195.97 / $239.07 / $322.64	Professional		$195.97	$239.07	$322.64