Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.04 / $485.22 / $14,464.32	Facility		$234.04	$485.22	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.16 / $189.33 / $427.35	Professional		$124.16	$189.33	$427.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $897.18 / $1,504.00	Facility		$55.00	$897.18	$1,504.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $202.77 / $401.64 / $1,540.72	Professional		$202.77	$401.64	$1,540.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $500.00 / $636.00	Facility		$466.83	$500.00	$636.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.08 / $307.27 / $582.89	Professional		$155.08	$307.27	$582.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $164.92 / $285.73 / $494.06	Facility		$164.92	$285.73	$494.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.79 / $285.76 / $469.96	Professional		$155.79	$285.76	$469.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.03 / $269.65 / $493.59	Professional		$47.03	$269.65	$493.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $236.51 / $359.99 / $419.42	Facility		$236.51	$359.99	$419.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $286.08	Facility		$275.42	$275.42	$286.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.85 / $324.13 / $528.70	Professional		$209.85	$324.13	$528.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $732.19 / $1,129.13 / $2,159.90	Facility		$732.19	$1,129.13	$2,159.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $212.66 / $325.27 / $477.21	Professional		$212.66	$325.27	$477.21
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 $207.88 / $338.26 / $593.79	Professional		$207.88	$338.26	$593.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $170.05 / $229.00	Professional		$136.66	$170.05	$229.00