Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.44 / $859.52 / $14,464.32	Facility		$287.44	$859.52	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.82 / $335.76 / $859.52	Professional		$153.82	$335.76	$859.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $490.60 / $908.35 / $1,500.00	Facility		$490.60	$908.35	$1,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $279.89 / $680.42 / $2,554.96	Professional		$279.89	$680.42	$2,554.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.65 / $422.55 / $961.34	Professional		$204.65	$422.55	$961.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $223.20 / $402.16 / $820.62	Facility		$223.20	$402.16	$820.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.71 / $407.39 / $848.62	Professional		$223.71	$407.39	$848.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.63 / $540.66 / $907.99	Professional		$90.63	$540.66	$907.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $382.59 / $627.12 / $688.76	Facility		$382.59	$627.12	$688.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $469.80 / $469.80 / $490.60	Facility		$469.80	$469.80	$490.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.36 / $469.80 / $932.50	Professional		$276.36	$469.80	$932.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $280.58 / $500.35 / $801.42	Professional		$280.58	$500.35	$801.42
United Facility/Professional Facility Modifier Low / Median / High Price $414.00 / $666.00 / $6,216.00	Facility		$414.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $381.37 / $604.79 / $1,012.53	Professional		$381.37	$604.79	$1,012.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $164.19 / $164.19 / $378.86	Professional		$164.19	$164.19	$378.86