Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.70 / $10,122.46 / $27,982.24	Facility		$102.70	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $102.70 / $217.27	Professional		$81.59	$102.70	$217.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $162.55 / $531.49	Facility		$90.00	$162.55	$531.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $135.83 / $223.05 / $919.58	Professional		$135.83	$223.05	$919.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $870.49	Facility		$500.00	$714.97	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.43 / $122.43 / $146.69	Professional		$122.43	$122.43	$146.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $670.80 / $670.80 / $670.80	Facility		$670.80	$670.80	$670.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $322.16 / $322.16 / $322.16	Professional		$322.16	$322.16	$322.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $75.00 / $107.59	Professional		$41.31	$75.00	$107.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.36 / $64.48 / $95.89	Facility		$48.36	$64.48	$95.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.18 / $133.18 / $143.96	Facility		$133.18	$133.18	$143.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.03 / $220.00 / $285.74	Professional		$151.03	$220.00	$285.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $421.87 / $421.87 / $531.49	Facility		$421.87	$421.87	$531.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $135.83 / $193.57 / $265.64	Professional		$135.83	$193.57	$265.64
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 $120.00 / $162.85 / $290.20	Professional		$120.00	$162.85	$290.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.02 / $103.41 / $119.73	Professional		$68.02	$103.41	$119.73