Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.52 / $569.45 / $20,680.40	Facility		$217.52	$569.45	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.38 / $217.52 / $517.86	Professional		$179.38	$217.52	$517.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $150.16 / $908.60 / $1,739.05	Facility		$150.16	$908.60	$1,739.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $287.64 / $497.15 / $1,805.33	Professional		$287.64	$497.15	$1,805.33
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 $257.18 / $406.69 / $596.21	Professional		$257.18	$406.69	$596.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $244.19 / $405.63 / $910.16	Facility		$244.19	$405.63	$910.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.19 / $405.63 / $508.04	Professional		$244.19	$405.63	$508.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.72 / $318.26 / $522.77	Professional		$49.72	$318.26	$522.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $285.76 / $377.68 / $405.35	Facility		$285.76	$377.68	$405.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.16 / $268.18 / $276.49	Facility		$150.16	$268.18	$276.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.22 / $461.19 / $567.07	Professional		$290.22	$461.19	$567.07
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 $273.50 / $397.73 / $535.73	Professional		$273.50	$397.73	$535.73
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 $258.29 / $423.76 / $580.26	Professional		$258.29	$423.76	$580.26