Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.84 / $597.23 / $14,464.32	Facility		$334.84	$597.23	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.02 / $255.81 / $593.44	Professional		$171.02	$255.81	$593.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $360.57 / $1,465.59 / $12,000.00	Facility		$360.57	$1,465.59	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $283.62 / $524.38 / $2,279.10	Professional		$283.62	$524.38	$2,279.10
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 $219.10 / $398.60 / $742.33	Professional		$219.10	$398.60	$742.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $219.76 / $408.85 / $662.80	Facility		$219.76	$408.85	$662.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $219.48 / $390.49 / $636.63	Professional		$219.48	$390.49	$636.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $212.94 / $559.41	Professional		$39.46	$212.94	$559.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $332.55 / $477.71 / $528.63	Facility		$332.55	$477.71	$528.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.81 / $355.61 / $368.87	Facility		$240.81	$355.61	$368.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.00 / $450.93 / $683.68	Professional		$293.00	$450.93	$683.68
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 $298.32 / $421.64 / $606.38	Professional		$298.32	$421.64	$606.38
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 $277.00 / $435.61 / $752.41	Professional		$277.00	$435.61	$752.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $197.18 / $215.06 / $289.52	Professional		$197.18	$215.06	$289.52