Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.83 / $658.88 / $20,680.40	Facility		$312.83	$658.88	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.20 / $304.43 / $613.79	Professional		$211.20	$304.43	$613.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $319.44 / $1,061.19	Facility		$55.00	$319.44	$1,061.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $328.81 / $549.58 / $2,063.40	Professional		$328.81	$549.58	$2,063.40
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 $254.01 / $428.35 / $690.54	Professional		$254.01	$428.35	$690.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $221.03 / $461.31 / $581.38	Facility		$221.03	$461.31	$581.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.03 / $455.95 / $596.97	Professional		$221.03	$455.95	$596.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $363.75 / $615.67	Professional		$60.80	$363.75	$615.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $339.57 / $441.85 / $468.33	Facility		$339.57	$441.85	$468.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.64 / $316.64 / $319.44	Facility		$316.64	$316.64	$319.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.52 / $530.35 / $640.12	Professional		$335.52	$530.35	$640.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $373.97 / $459.52 / $600.88	Professional		$373.97	$459.52	$600.88
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 $267.58 / $413.40 / $672.94	Professional		$267.58	$413.40	$672.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $193.52 / $238.96 / $238.96	Professional		$193.52	$238.96	$238.96