Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.03 / $794.19 / $14,464.32	Facility		$410.03	$794.19	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.37 / $336.00 / $813.16	Professional		$207.37	$336.00	$813.16
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 $350.96 / $691.53 / $2,606.40	Professional		$350.96	$691.53	$2,606.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.70 / $714.97 / $947.00	Facility		$318.70	$714.97	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.70 / $491.59 / $993.69	Professional		$271.70	$491.59	$993.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $273.05 / $476.74 / $916.66	Facility		$273.05	$476.74	$916.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $267.57 / $466.83 / $763.96	Professional		$267.57	$466.83	$763.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.61 / $430.93 / $870.11	Professional		$48.61	$430.93	$870.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $404.80 / $599.65 / $711.54	Facility		$404.80	$599.65	$711.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.85 / $477.01 / $485.33	Facility		$242.85	$477.01	$485.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.21 / $575.36 / $918.84	Professional		$368.21	$575.36	$918.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,301.18 / $4,404.18 / $8,267.12	Facility		$3,301.18	$4,404.18	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $370.64 / $563.36 / $806.59	Professional		$370.64	$563.36	$806.59
United Facility/Professional Facility Modifier Low / Median / High Price $805.00 / $1,318.98 / $3,740.00	Facility		$805.00	$1,318.98	$3,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $359.09 / $584.10 / $1,008.89	Professional		$359.09	$584.10	$1,008.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $242.30 / $294.01 / $395.42	Professional		$242.30	$294.01	$395.42