Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.02 / $441.39 / $14,464.32	Facility		$184.02	$441.39	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.23 / $199.74 / $441.39	Professional		$105.23	$199.74	$441.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $224.84 / $1,836.95 / $3,748.81	Facility		$224.84	$1,836.95	$3,748.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $172.08 / $312.82 / $1,216.32	Professional		$172.08	$312.82	$1,216.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $880.53	Facility		$714.97	$870.49	$880.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.67 / $241.66 / $459.61	Professional		$127.67	$241.66	$459.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $126.72 / $238.12 / $648.52	Facility		$126.72	$238.12	$648.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.72 / $237.49 / $519.36	Professional		$126.72	$237.49	$519.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $254.08 / $447.48	Professional		$45.17	$254.08	$447.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $187.73 / $310.39 / $329.64	Facility		$187.73	$310.39	$329.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.42 / $224.84 / $715.32	Facility		$222.42	$224.84	$715.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.31 / $254.33 / $412.15	Professional		$166.31	$254.33	$412.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,430.01 / $1,958.65 / $3,748.81	Facility		$1,430.01	$1,958.65	$3,748.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $159.56 / $244.51 / $403.48	Professional		$159.56	$244.51	$403.48
United Facility/Professional Facility Modifier Low / Median / High Price $472.00 / $938.00 / $4,611.00	Facility		$472.00	$938.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.81 / $280.26 / $477.92	Professional		$200.81	$280.26	$477.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $131.41 / $174.57	Professional		$103.54	$131.41	$174.57