Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.99 / $284.50 / $84,555.55	Facility		$229.99	$284.50	$84,555.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.43 / $261.23 / $323.30	Professional		$255.43	$261.23	$323.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $230.61 / $359.40 / $1,244.65	Facility		$230.61	$359.40	$1,244.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $284.50 / $6,942.60	Professional		$258.64	$284.50	$6,942.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $248.93 / $601.96	Facility		$244.00	$248.93	$601.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $317.20	Professional		$258.64	$258.64	$317.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $148.49 / $258.64 / $569.25	Facility		$148.49	$258.64	$569.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $258.64 / $505.85	Professional		$148.16	$258.64	$505.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $273.82 / $336.05	Professional		$75.00	$273.82	$336.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $258.51 / $292.80 / $583.79	Facility		$258.51	$292.80	$583.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.55 / $352.84 / $645.72	Facility		$196.55	$352.84	$645.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.02 / $317.02 / $573.01	Professional		$263.02	$317.02	$573.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $239.60 / $284.50 / $479.20	Facility		$239.60	$284.50	$479.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $284.50 / $310.37	Professional		$258.64	$284.50	$310.37
United Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $310.37	Professional		$258.64	$258.64	$310.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $248.93 / $258.64 / $258.64	Professional		$248.93	$258.64	$258.64