Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.07 / $619.64 / $20,680.40	Facility		$288.07	$619.64	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.40 / $274.45 / $563.51	Professional		$198.40	$274.45	$563.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $286.08 / $1,713.25	Facility		$55.00	$286.08	$1,713.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $294.47 / $484.15 / $1,798.05	Professional		$294.47	$484.15	$1,798.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $947.00	Facility		$500.00	$870.49	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.62 / $395.58 / $632.04	Professional		$240.62	$395.58	$632.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $205.84 / $436.71 / $549.42	Facility		$205.84	$436.71	$549.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $205.84 / $435.24 / $549.42	Professional		$205.84	$435.24	$549.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.23 / $323.88 / $545.38	Professional		$53.23	$323.88	$545.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $306.25 / $408.94 / $420.24	Facility		$306.25	$408.94	$420.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $280.86 / $280.86 / $286.08	Facility		$280.86	$280.86	$286.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.85 / $474.04 / $572.16	Professional		$300.85	$474.04	$572.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $331.70 / $411.53 / $542.12	Professional		$331.70	$411.53	$542.12
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $5,793.00	Facility		$650.00	$1,120.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $232.29 / $367.80 / $601.51	Professional		$232.29	$367.80	$601.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.92 / $221.34 / $221.34	Professional		$173.92	$221.34	$221.34