Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.82 / $630.86 / $17,930.00	Facility		$304.82	$630.86	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.36 / $254.18 / $675.63	Professional		$154.36	$254.18	$675.63
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 $290.69 / $534.99 / $2,241.08	Professional		$290.69	$534.99	$2,241.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.24 / $379.24 / $479.00	Facility		$379.24	$379.24	$479.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.89 / $343.00 / $746.88	Professional		$194.89	$343.00	$746.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $188.03 / $294.83 / $603.36	Facility		$188.03	$294.83	$603.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $189.50 / $322.95 / $603.36	Professional		$189.50	$322.95	$603.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.16 / $201.45 / $531.12	Professional		$37.16	$201.45	$531.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $313.95 / $447.56 / $523.27	Facility		$313.95	$447.56	$523.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.47 / $354.25 / $356.92	Facility		$143.47	$354.25	$356.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.20 / $421.55 / $658.01	Professional		$270.20	$421.55	$658.01
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 $221.30 / $367.06 / $637.46	Professional		$221.30	$367.06	$637.46
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 $293.08 / $399.04 / $756.96	Professional		$293.08	$399.04	$756.96