Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.51 / $5,128.00 / $22,024.00	Facility		$357.51	$5,128.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $325.39 / $392.35	Professional		$58.40	$325.39	$392.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $75.31 / $410.06 / $410.06	Facility		$75.31	$410.06	$410.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $225.61 / $1,055.58	Professional		$84.23	$225.61	$1,055.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.19 / $76.19 / $84.65	Professional		$76.19	$76.19	$84.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.81 / $164.81 / $164.81	Professional		$164.81	$164.81	$164.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $60.00	Professional		$45.00	$50.00	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $67.40 / $89.87 / $107.87	Facility		$67.40	$89.87	$107.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.58 / $73.58 / $462.51	Facility		$73.58	$73.58	$462.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.53 / $150.91 / $462.51	Professional		$92.53	$150.91	$462.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $84.72 / $107.59 / $581.40	Professional		$84.72	$107.59	$581.40
United Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $497.00 / $5,793.00	Facility		$125.00	$497.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.57 / $489.59 / $899.12	Professional		$115.57	$489.59	$899.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $344.52 / $344.52 / $344.52	Professional		$344.52	$344.52	$344.52