Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.72 / $536.76 / $22,024.00	Facility		$229.72	$536.76	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.46 / $229.72 / $519.48	Professional		$172.46	$229.72	$519.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,300.00 / $5,000.00	Facility		$55.00	$1,300.00	$5,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $269.54 / $415.88 / $3,853.67	Professional		$269.54	$415.88	$3,853.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.16 / $332.14 / $564.03	Professional		$200.16	$332.14	$564.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $179.80 / $361.13 / $457.04	Facility		$179.80	$361.13	$457.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.80 / $361.73 / $469.26	Professional		$179.80	$361.73	$469.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.94 / $293.62 / $518.16	Professional		$51.94	$293.62	$518.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $270.35 / $358.55 / $383.91	Facility		$270.35	$358.55	$383.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.59 / $254.59 / $261.86	Facility		$254.59	$254.59	$261.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.27 / $416.57 / $519.77	Professional		$289.27	$416.57	$519.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $259.64 / $372.73 / $496.22	Professional		$259.64	$372.73	$496.22
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,323.00 / $5,793.00	Facility		$702.00	$1,323.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.89 / $309.64 / $543.55	Professional		$228.89	$309.64	$543.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.19 / $158.19 / $195.99	Professional		$158.19	$158.19	$195.99