Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.76 / $5,128.00 / $22,024.00	Facility		$178.76	$5,128.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.52 / $178.76 / $455.20	Professional		$113.52	$178.76	$455.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $233.53 / $773.56	Facility		$90.00	$233.53	$773.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $223.56 / $374.27 / $1,491.90	Professional		$223.56	$374.27	$1,491.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $714.97 / $714.97	Facility		$714.97	$714.97	$714.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.26 / $181.26 / $217.17	Professional		$181.26	$181.26	$217.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $522.62 / $522.62 / $522.62	Professional		$522.62	$522.62	$522.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $66.92 / $100.31 / $150.34	Facility		$66.92	$100.31	$150.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.48 / $231.48 / $233.53	Facility		$231.48	$231.48	$233.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.24 / $363.32 / $463.53	Professional		$255.24	$363.32	$463.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $236.08 / $325.56 / $449.26	Professional		$236.08	$325.56	$449.26
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.92 / $312.12 / $460.75	Professional		$195.92	$312.12	$460.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.06 / $156.72 / $166.76	Professional		$112.06	$156.72	$166.76