Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.35 / $5,128.00 / $22,024.00	Facility		$95.35	$5,128.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.30 / $95.35 / $209.80	Professional		$83.30	$95.35	$209.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $150.04 / $531.49	Facility		$90.00	$150.04	$531.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $123.23 / $206.06 / $848.78	Professional		$123.23	$206.06	$848.78
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 $297.80 / $297.80 / $297.80	Professional		$297.80	$297.80	$297.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.48 / $75.00 / $90.20	Professional		$51.48	$75.00	$90.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $56.31 / $88.48	Facility		$40.11	$56.31	$88.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.76 / $122.76 / $132.99	Facility		$122.76	$122.76	$132.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $203.54 / $263.97	Professional		$139.72	$203.54	$263.97
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 $125.20 / $178.82 / $246.46	Professional		$125.20	$178.82	$246.46
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 $105.27 / $142.33 / $274.23	Professional		$105.27	$142.33	$274.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.38 / $95.62 / $110.77	Professional		$59.38	$95.62	$110.77