Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.99 / $462.71 / $14,464.32	Facility		$125.99	$462.71	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.18 / $173.69 / $334.66	Professional		$64.18	$173.69	$334.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $289.01 / $567.02 / $1,085.27	Facility		$289.01	$567.02	$1,085.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $100.32 / $244.80 / $1,242.00	Professional		$100.32	$244.80	$1,242.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.82 / $213.84 / $449.13	Professional		$94.82	$213.84	$449.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $105.12 / $189.30 / $438.33	Facility		$105.12	$189.30	$438.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.50 / $207.01 / $442.14	Professional		$106.50	$207.01	$442.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $250.70 / $448.90	Professional		$44.92	$250.70	$448.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $160.16 / $298.52 / $346.80	Facility		$160.16	$298.52	$346.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.03 / $231.03 / $233.98	Facility		$231.03	$231.03	$233.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.32 / $214.11 / $428.90	Professional		$100.32	$214.11	$428.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $367.90 / $567.35 / $1,085.27	Facility		$367.90	$567.35	$1,085.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $96.56 / $200.28 / $388.86	Professional		$96.56	$200.28	$388.86
United Facility/Professional Professional Modifier Low / Median / High Price $207.05 / $256.94 / $499.06	Professional		$207.05	$256.94	$499.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.64 / $62.64 / $172.74	Professional		$62.64	$62.64	$172.74