Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.04 / $737.79 / $14,464.32	Facility		$308.04	$737.79	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.13 / $274.69 / $602.36	Professional		$154.13	$274.69	$602.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $749.59 / $3,269.98 / $16,394.00	Facility		$749.59	$3,269.98	$16,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $269.11 / $608.24 / $2,310.23	Professional		$269.11	$608.24	$2,310.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $1,499.24	Facility		$625.25	$761.81	$1,499.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.95 / $420.30 / $883.13	Professional		$206.95	$420.30	$883.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $208.74 / $406.12 / $1,059.06	Facility		$208.74	$406.12	$1,059.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.68 / $390.17 / $841.34	Professional		$204.68	$390.17	$841.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $295.87 / $770.69	Professional		$39.65	$295.87	$770.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $314.39 / $535.84 / $635.16	Facility		$314.39	$535.84	$635.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $433.24 / $552.13 / $929.09	Facility		$433.24	$552.13	$929.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.39 / $453.55 / $807.66	Professional		$277.39	$453.55	$807.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,554.42 / $3,344.18 / $6,397.05	Facility		$2,554.42	$3,344.18	$6,397.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $277.95 / $469.20 / $727.34	Professional		$277.95	$469.20	$727.34
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,355.00 / $4,271.00	Facility		$650.00	$1,355.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $309.50 / $526.90 / $910.10	Professional		$309.50	$526.90	$910.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $184.43 / $264.20 / $360.04	Professional		$184.43	$264.20	$360.04