Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.95 / $624.87 / $14,464.32	Facility		$229.95	$624.87	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.40 / $241.02 / $603.44	Professional		$110.40	$241.02	$603.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $231.82 / $1,461.50 / $2,982.61	Facility		$231.82	$1,461.50	$2,982.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $225.54 / $543.58 / $2,003.76	Professional		$225.54	$543.58	$2,003.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.51 / $286.51 / $477.32	Facility		$286.51	$286.51	$477.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.27 / $379.15 / $828.69	Professional		$197.27	$379.15	$828.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $182.03 / $327.60 / $675.45	Facility		$182.03	$327.60	$675.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.03 / $321.60 / $590.59	Professional		$182.03	$321.60	$590.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $201.42 / $555.55	Professional		$39.46	$201.42	$555.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $226.46 / $440.19 / $545.38	Facility		$226.46	$440.19	$545.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.82 / $371.91 / $372.00	Facility		$231.82	$371.91	$372.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.05 / $372.00 / $694.27	Professional		$222.05	$372.00	$694.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,011.08 / $1,549.85 / $2,982.61	Facility		$1,011.08	$1,549.85	$2,982.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $217.16 / $379.30 / $630.04	Professional		$217.16	$379.30	$630.04
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $304.50 / $576.88 / $792.66	Professional		$304.50	$576.88	$792.66