Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.35 / $251.35 / $4,525.08	Facility		$251.35	$251.35	$4,525.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.11 / $152.91 / $251.35	Professional		$79.11	$152.91	$251.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $356.74 / $828.07 / $1,736.49	Facility		$356.74	$828.07	$1,736.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $202.46 / $358.59 / $1,398.68	Professional		$202.46	$358.59	$1,398.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.03 / $339.30 / $523.14	Professional		$211.03	$339.30	$523.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $199.31 / $331.24 / $614.11	Facility		$199.31	$331.24	$614.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.31 / $312.51 / $561.77	Professional		$199.31	$312.51	$561.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $321.75	Professional		$45.00	$50.00	$321.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $179.26 / $226.42 / $238.34	Facility		$179.26	$226.42	$238.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.10 / $222.10 / $245.53	Facility		$222.10	$222.10	$245.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.61 / $344.69 / $458.56	Professional		$228.61	$344.69	$458.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $513.03 / $867.99 / $1,701.50	Facility		$513.03	$867.99	$1,701.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $215.75 / $317.81 / $450.32	Professional		$215.75	$317.81	$450.32
United Facility/Professional Professional Modifier Low / Median / High Price $129.44 / $315.27 / $598.41	Professional		$129.44	$315.27	$598.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $238.34 / $275.48 / $546.97	Professional		$238.34	$275.48	$546.97