Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.52 / $559.52 / $17,100.00	Facility		$247.52	$559.52	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.39 / $246.17 / $516.39	Professional		$116.39	$246.17	$516.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $339.05 / $582.97 / $11,500.00	Facility		$339.05	$582.97	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $244.00 / $413.68 / $1,661.02	Professional		$244.00	$413.68	$1,661.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.49 / $148.49 / $247.38	Facility		$148.49	$148.49	$247.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.46 / $369.27 / $641.94	Professional		$217.46	$369.27	$641.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $166.74 / $298.80 / $525.65	Facility		$166.74	$298.80	$525.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.91 / $300.92 / $506.05	Professional		$174.91	$300.92	$506.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.83 / $333.91 / $546.52	Professional		$51.83	$333.91	$546.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $249.43 / $395.62 / $426.36	Facility		$249.43	$395.62	$426.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.65 / $287.20 / $290.20	Facility		$87.65	$287.20	$290.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.55 / $344.01 / $531.94	Professional		$240.55	$344.01	$531.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $409.60 / $561.02 / $1,073.78	Facility		$409.60	$561.02	$1,073.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $228.31 / $331.17 / $491.49	Professional		$228.31	$331.17	$491.49
United Facility/Professional Facility Modifier Low / Median / High Price $546.94 / $720.12 / $1,336.14	Facility		$546.94	$720.12	$1,336.14
United Facility/Professional Professional Modifier Low / Median / High Price $265.76 / $416.76 / $612.11	Professional		$265.76	$416.76	$612.11