Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.84 / $698.32 / $14,464.32	Facility		$219.84	$698.32	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.90 / $218.41 / $461.48	Professional		$100.90	$218.41	$461.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $143.47 / $825.07 / $1,579.18	Facility		$143.47	$825.07	$1,579.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $212.81 / $508.56 / $2,328.30	Professional		$212.81	$508.56	$2,328.30
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $255.83 / $345.96 / $621.00	Professional	50	$255.83	$345.96	$621.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.24 / $379.24 / $379.24	Facility		$379.24	$379.24	$379.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.88 / $313.70 / $724.26	Professional		$138.88	$313.70	$724.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $145.55 / $276.38 / $632.16	Facility		$145.55	$276.38	$632.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.16 / $286.39 / $632.16	Professional		$146.16	$286.39	$632.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.16 / $206.24 / $534.24	Professional		$37.16	$206.24	$534.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $232.56 / $460.29 / $541.36	Facility		$232.56	$460.29	$541.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.47 / $371.46 / $371.46	Facility		$143.47	$371.46	$371.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.24 / $369.26 / $686.55	Professional		$193.24	$369.26	$686.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $535.33 / $825.55 / $1,579.18	Facility		$535.33	$825.55	$1,579.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $157.08 / $360.30 / $666.44	Professional		$157.08	$360.30	$666.44
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 $294.50 / $404.80 / $728.64	Professional		$294.50	$404.80	$728.64