Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.72 / $401.39 / $11,522.02	Facility		$172.72	$401.39	$11,522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $226.44 / $480.90	Professional		$117.36	$226.44	$480.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $144.47 / $361.80 / $692.47	Facility		$144.47	$361.80	$692.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $225.54 / $421.76 / $1,560.64	Professional		$225.54	$421.76	$1,560.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.70 / $350.58 / $645.91	Professional		$177.70	$350.58	$645.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $156.55 / $275.22 / $501.25	Facility		$156.55	$275.22	$501.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.31 / $275.22 / $491.93	Professional		$160.31	$275.22	$491.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.76 / $301.94 / $514.63	Professional		$47.76	$301.94	$514.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $201.67 / $361.38 / $430.34	Facility		$201.67	$361.38	$430.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.20 / $287.20 / $289.74	Facility		$287.20	$287.20	$289.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.05 / $337.44 / $531.10	Professional		$222.05	$337.44	$531.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $234.74 / $361.80 / $692.47	Facility		$234.74	$361.80	$692.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $217.16 / $316.44 / $490.72	Professional		$217.16	$316.44	$490.72
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 $226.80 / $382.22 / $615.02	Professional		$226.80	$382.22	$615.02