Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.09 / $586.25 / $14,464.32	Facility		$349.09	$586.25	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.93 / $256.93 / $607.52	Professional		$174.93	$256.93	$607.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $356.65 / $1,465.59 / $12,000.00	Facility		$356.65	$1,465.59	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $296.16 / $532.84 / $1,900.48	Professional		$296.16	$532.84	$1,900.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.19 / $568.48 / $646.73	Facility		$388.19	$568.48	$646.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.18 / $408.75 / $732.66	Professional		$225.18	$408.75	$732.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $229.19 / $408.85 / $656.37	Facility		$229.19	$408.85	$656.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $219.36 / $399.48 / $618.28	Professional		$219.36	$399.48	$618.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.84 / $380.62 / $675.66	Professional		$63.84	$380.62	$675.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $320.02 / $469.67 / $515.90	Facility		$320.02	$469.67	$515.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.81 / $350.56 / $368.87	Facility		$240.81	$350.56	$368.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.48 / $459.61 / $667.74	Professional		$305.48	$459.61	$667.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,011.08 / $1,558.33 / $2,982.61	Facility		$1,011.08	$1,558.33	$2,982.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $311.32 / $430.64 / $595.98	Professional		$311.32	$430.64	$595.98
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 $271.70 / $430.20 / $746.34	Professional		$271.70	$430.20	$746.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $205.83 / $210.36 / $281.60	Professional		$205.83	$210.36	$281.60