Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.93 / $361.63 / $13,750.00	Facility		$169.93	$361.63	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.87 / $209.70 / $475.32	Professional		$105.87	$209.70	$475.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $362.00 / $546.00	Facility		$55.00	$362.00	$546.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $149.80 / $287.10 / $1,112.48	Professional		$149.80	$287.10	$1,112.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $238.72 / $434.13	Professional		$124.49	$238.72	$434.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $115.16 / $207.39 / $356.42	Facility		$115.16	$207.39	$356.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.01 / $206.36 / $349.20	Professional		$115.01	$206.36	$349.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $272.63 / $459.28	Professional		$45.17	$272.63	$459.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $182.24 / $274.70 / $301.50	Facility		$182.24	$274.70	$301.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.65 / $205.65 / $206.57	Facility		$205.65	$205.65	$206.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.09 / $242.47 / $390.75	Professional		$151.09	$242.47	$390.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $276.51 / $362.00 / $692.47	Facility		$276.51	$362.00	$692.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $149.80 / $242.48 / $341.78	Professional		$149.80	$242.48	$341.78
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 $147.97 / $243.17 / $425.59	Professional		$147.97	$243.17	$425.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.24 / $123.13 / $164.35	Professional		$99.24	$123.13	$164.35