Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.21 / $491.95 / $14,464.32	Facility		$125.21	$491.95	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.56 / $184.41 / $351.90	Professional		$75.56	$184.41	$351.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $144.77 / $773.81 / $1,579.18	Facility		$144.77	$773.81	$1,579.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $122.99 / $352.88 / $1,474.50	Professional		$122.99	$352.88	$1,474.50
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $205.55 / $295.50 / $518.72	Professional	50	$205.55	$295.50	$518.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.88 / $314.88 / $479.00	Facility		$314.88	$314.88	$479.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.88 / $204.37 / $537.49	Professional		$84.88	$204.37	$537.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $96.46 / $172.35 / $432.32	Facility		$96.46	$172.35	$432.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.46 / $173.79 / $432.32	Professional		$96.46	$173.79	$432.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.03 / $253.53 / $444.13	Professional		$45.03	$253.53	$444.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $153.75 / $326.29 / $370.51	Facility		$153.75	$326.29	$370.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.77 / $251.42 / $251.42	Facility		$144.77	$251.42	$251.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.29 / $223.49 / $465.29	Professional		$111.29	$223.49	$465.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $602.39 / $825.55 / $1,579.18	Facility		$602.39	$825.55	$1,579.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.48 / $233.35 / $457.22	Professional		$91.48	$233.35	$457.22
United Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $414.00 / $5,793.00	Facility		$118.00	$414.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.70 / $283.04 / $506.97	Professional		$218.70	$283.04	$506.97