Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.18 / $5,128.00 / $22,024.00	Facility		$93.18	$5,128.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.86 / $93.18 / $128.00	Professional		$81.86	$93.18	$128.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $146.90 / $531.49	Facility		$90.00	$146.90	$531.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $203.95 / $816.83	Professional		$122.50	$203.95	$816.83
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 $114.48 / $114.48 / $137.16	Professional		$114.48	$114.48	$137.16
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 $286.51 / $286.51 / $286.51	Professional		$286.51	$286.51	$286.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.43 / $75.00 / $89.03	Professional		$50.43	$75.00	$89.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $55.15 / $87.34	Facility		$39.29	$55.15	$87.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.50 / $120.50 / $127.96	Facility		$120.50	$120.50	$127.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.86 / $198.58 / $253.99	Professional		$139.86	$198.58	$253.99
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 $122.89 / $175.49 / $242.48	Professional		$122.89	$175.49	$242.48
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 $108.77 / $139.05 / $258.52	Professional		$108.77	$139.05	$258.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.11 / $94.35 / $111.26	Professional		$58.11	$94.35	$111.26