Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.40 / $10,122.46 / $27,982.24	Facility		$104.40	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.62 / $104.40 / $114.55	Professional		$88.62	$104.40	$114.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $163.54 / $531.49	Facility		$90.00	$163.54	$531.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $134.61 / $224.47 / $925.13	Professional		$134.61	$224.47	$925.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $870.49	Facility		$500.00	$714.97	$870.49
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 $324.25 / $324.25 / $324.25	Professional		$324.25	$324.25	$324.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $75.00 / $98.96	Professional		$60.00	$75.00	$98.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.73 / $65.59 / $95.59	Facility		$46.73	$65.59	$95.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.09 / $134.09 / $144.87	Facility		$134.09	$134.09	$144.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.57 / $222.25 / $287.55	Professional		$152.57	$222.25	$287.55
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 $136.75 / $194.80 / $270.44	Professional		$136.75	$194.80	$270.44
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 $121.31 / $167.53 / $295.23	Professional		$121.31	$167.53	$295.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.31 / $104.68 / $121.08	Professional		$69.31	$104.68	$121.08