Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.37 / $387.55 / $14,464.32	Facility		$203.37	$387.55	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.89 / $158.69 / $387.55	Professional		$101.89	$158.69	$387.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $218.80 / $775.74 / $16,394.00	Facility		$218.80	$775.74	$16,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $170.13 / $321.82 / $1,197.76	Professional		$170.13	$321.82	$1,197.76
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 $131.41 / $255.19 / $468.61	Professional		$131.41	$255.19	$468.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $135.78 / $236.16 / $467.96	Facility		$135.78	$236.16	$467.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.97 / $232.35 / $394.54	Professional		$131.97	$232.35	$394.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $218.36 / $371.34	Professional		$36.31	$218.36	$371.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $190.95 / $299.99 / $325.62	Facility		$190.95	$299.99	$325.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.93 / $218.80 / $222.10	Facility		$152.93	$218.80	$222.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.06 / $272.76 / $418.89	Professional		$181.06	$272.76	$418.89
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 $176.09 / $258.41 / $373.62	Professional		$176.09	$258.41	$373.62
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 $173.10 / $267.85 / $470.20	Professional		$173.10	$267.85	$470.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $121.55 / $132.24 / $179.56	Professional		$121.55	$132.24	$179.56