Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.51 / $585.69 / $10,122.46	Facility		$241.51	$585.69	$10,122.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.49 / $220.85 / $434.90	Professional		$137.49	$220.85	$434.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $444.58 / $700.39 / $11,500.00	Facility		$444.58	$700.39	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $242.33 / $441.11 / $1,651.20	Professional		$242.33	$441.11	$1,651.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.82 / $185.82 / $309.58	Facility		$185.82	$185.82	$309.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.58 / $365.80 / $674.05	Professional		$212.58	$365.80	$674.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $184.14 / $317.27 / $534.96	Facility		$184.14	$317.27	$534.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.45 / $319.41 / $523.01	Professional		$184.45	$319.41	$523.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.83 / $333.91 / $546.52	Professional		$51.83	$333.91	$546.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $249.56 / $391.95 / $449.57	Facility		$249.56	$391.95	$449.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.68 / $295.36 / $306.64	Facility		$141.68	$295.36	$306.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.95 / $344.50 / $562.10	Professional		$239.95	$344.50	$562.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $511.06 / $699.99 / $1,339.76	Facility		$511.06	$699.99	$1,339.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $212.17 / $327.02 / $519.35	Professional		$212.17	$327.02	$519.35
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 $267.08 / $475.28 / $635.30	Professional		$267.08	$475.28	$635.30