Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.83 / $682.87 / $13,750.00	Facility		$372.83	$682.87	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.40 / $301.89 / $605.62	Professional		$166.40	$301.89	$605.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,633.02 / $5,709.61	Facility		$55.00	$2,633.02	$5,709.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $307.19 / $607.26 / $2,275.28	Professional		$307.19	$607.26	$2,275.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $348.60 / $568.48 / $636.00	Facility		$348.60	$568.48	$636.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.48 / $450.42 / $868.49	Professional		$229.48	$450.42	$868.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $231.29 / $422.36 / $820.62	Facility		$231.29	$422.36	$820.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $231.29 / $412.32 / $698.72	Professional		$231.29	$412.32	$698.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.35 / $343.82 / $715.35	Professional		$48.35	$343.82	$715.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $322.45 / $498.67 / $617.74	Facility		$322.45	$498.67	$617.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $284.17 / $421.35 / $427.63	Facility		$284.17	$421.35	$427.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.79 / $512.20 / $811.56	Professional		$327.79	$512.20	$811.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,301.18 / $4,321.81 / $8,267.12	Facility		$3,301.18	$4,321.81	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $318.79 / $505.04 / $700.69	Professional		$318.79	$505.04	$700.69
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $6,857.00	Facility		$650.00	$1,120.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $287.30 / $497.88 / $891.10	Professional		$287.30	$497.88	$891.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $220.62 / $250.39 / $348.47	Professional		$220.62	$250.39	$348.47