Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.52 / $621.83 / $20,680.40	Facility		$257.52	$621.83	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.12 / $257.52 / $565.50	Professional		$184.12	$257.52	$565.50
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 $329.48 / $558.54 / $3,692.24	Professional		$329.48	$558.54	$3,692.24
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 $278.16 / $481.76 / $706.73	Professional		$278.16	$481.76	$706.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $244.19 / $438.67 / $910.16	Facility		$244.19	$438.67	$910.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.19 / $438.67 / $563.95	Professional		$244.19	$438.67	$563.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.50 / $369.66 / $610.73	Professional		$58.50	$369.66	$610.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $305.27 / $423.95 / $479.72	Facility		$305.27	$423.95	$479.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.16 / $318.01 / $327.20	Facility		$150.16	$318.01	$327.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.81 / $545.80 / $671.11	Professional		$336.81	$545.80	$671.11
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 $324.32 / $470.70 / $634.02	Professional		$324.32	$470.70	$634.02
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 $299.04 / $478.30 / $686.48	Professional		$299.04	$478.30	$686.48