Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.79 / $690.10 / $20,680.40	Facility		$323.79	$690.10	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.16 / $314.50 / $627.58	Professional		$217.16	$314.50	$627.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $329.95 / $1,300.00	Facility		$55.00	$329.95	$1,300.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $345.60 / $554.33 / $4,334.00	Professional		$345.60	$554.33	$4,334.00
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 $265.41 / $442.40 / $713.19	Professional		$265.41	$442.40	$713.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $228.47 / $486.69 / $600.25	Facility		$228.47	$486.69	$600.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $228.47 / $470.75 / $616.35	Professional		$228.47	$470.75	$616.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.75 / $363.88 / $615.73	Professional		$60.75	$363.88	$615.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $349.37 / $456.69 / $483.74	Facility		$349.37	$456.69	$483.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $326.16 / $326.16 / $329.95	Facility		$326.16	$326.16	$329.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.60 / $547.85 / $661.25	Professional		$345.60	$547.85	$661.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $385.20 / $474.64 / $620.20	Professional		$385.20	$474.64	$620.20
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 $256.07 / $405.84 / $714.21	Professional		$256.07	$405.84	$714.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $200.15 / $247.03 / $247.03	Professional		$200.15	$247.03	$247.03