Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.58 / $648.36 / $14,464.32	Facility		$306.58	$648.36	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.78 / $281.89 / $614.52	Professional		$197.78	$281.89	$614.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $553.79 / $944.15 / $11,500.00	Facility		$553.79	$944.15	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $336.05 / $514.45 / $3,100.00	Professional		$336.05	$514.45	$3,100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.86 / $231.86 / $386.27	Facility		$231.86	$231.86	$386.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.55 / $492.09 / $774.08	Professional		$299.55	$492.09	$774.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $249.69 / $457.17 / $661.99	Facility		$249.69	$457.17	$661.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $258.45 / $462.11 / $611.94	Professional		$258.45	$462.11	$611.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.33 / $427.20 / $702.96	Professional		$67.33	$427.20	$702.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $344.96 / $462.30 / $521.26	Facility		$344.96	$462.30	$521.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.16 / $348.36 / $355.55	Facility		$150.16	$348.36	$355.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.55 / $499.75 / $673.06	Professional		$355.55	$499.75	$673.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $663.37 / $908.60 / $1,739.05	Facility		$663.37	$908.60	$1,739.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $338.26 / $454.18 / $628.37	Professional		$338.26	$454.18	$628.37
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 $322.52 / $508.38 / $750.18	Professional		$322.52	$508.38	$750.18