Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.03 / $352.96 / $14,464.32	Facility		$139.03	$352.96	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.73 / $152.59 / $324.81	Professional		$87.73	$152.59	$324.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $74.33 / $416.08 / $846.77	Facility		$74.33	$416.08	$846.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $137.02 / $288.75 / $1,112.00	Professional		$137.02	$288.75	$1,112.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.13 / $121.13 / $201.81	Facility		$121.13	$121.13	$201.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.48 / $221.36 / $453.59	Professional		$121.48	$221.36	$453.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $112.53 / $189.31 / $351.86	Facility		$112.53	$189.31	$351.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.04 / $190.96 / $342.61	Professional		$113.04	$190.96	$342.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $222.71 / $364.68	Professional		$34.79	$222.71	$364.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $148.74 / $243.44 / $300.83	Facility		$148.74	$243.44	$300.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.33 / $203.85 / $205.19	Facility		$74.33	$203.85	$205.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $205.19 / $376.13	Professional		$134.90	$205.19	$376.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $287.05 / $442.67 / $846.77	Facility		$287.05	$442.67	$846.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $121.16 / $207.90 / $347.53	Professional		$121.16	$207.90	$347.53
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.12 / $293.12 / $432.53	Professional		$175.12	$293.12	$432.53