Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.76 / $756.84 / $14,464.32	Facility		$339.76	$756.84	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.32 / $300.72 / $756.84	Professional		$170.32	$300.72	$756.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $238.32 / $798.63 / $16,394.00	Facility		$238.32	$798.63	$16,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $286.23 / $610.35 / $2,306.48	Professional		$286.23	$610.35	$2,306.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.48 / $625.25 / $842.00	Facility		$176.48	$625.25	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.04 / $437.35 / $877.91	Professional		$228.04	$437.35	$877.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $201.10 / $396.64 / $755.46	Facility		$201.10	$396.64	$755.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.09 / $396.64 / $729.95	Professional		$198.09	$396.64	$729.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.61 / $341.72 / $704.62	Professional		$48.61	$341.72	$704.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $352.32 / $556.75 / $631.80	Facility		$352.32	$556.75	$631.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.93 / $238.32 / $430.95	Facility		$152.93	$238.32	$430.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.08 / $489.23 / $816.38	Professional		$305.08	$489.23	$816.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $505.09 / $691.81 / $1,324.12	Facility		$505.09	$691.81	$1,324.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $296.70 / $496.77 / $720.36	Professional		$296.70	$496.77	$720.36
United Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $497.00 / $5,793.00	Facility		$125.00	$497.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $293.20 / $525.24 / $907.24	Professional		$293.20	$525.24	$907.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $200.59 / $256.74 / $347.79	Professional		$200.59	$256.74	$347.79