Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.97 / $4,497.00 / $20,680.40	Facility		$67.97	$4,497.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.97 / $107.88 / $400.00	Professional		$67.97	$107.88	$400.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $136.63 / $533.28 / $1,085.27	Facility		$136.63	$533.28	$1,085.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $95.04 / $190.76 / $752.64	Professional		$95.04	$190.76	$752.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.59 / $644.92 / $1,110.00	Facility		$77.59	$644.92	$1,110.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $113.31	Professional		$76.09	$76.09	$113.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $60.57 / $107.92 / $582.32	Facility		$60.57	$107.92	$582.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.71 / $103.46 / $198.46	Professional		$59.71	$103.46	$198.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.39 / $149.78 / $258.56	Professional		$26.39	$149.78	$258.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $106.03 / $162.16 / $203.52	Facility		$106.03	$162.16	$203.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.88 / $135.90 / $136.63	Facility		$108.88	$135.90	$136.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.60 / $155.12 / $250.47	Professional		$94.60	$155.12	$250.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $413.98 / $567.35 / $1,085.27	Facility		$413.98	$567.35	$1,085.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.48 / $138.60 / $227.09	Professional		$91.48	$138.60	$227.09
United Facility/Professional Facility Modifier Low / Median / High Price $531.29 / $710.68 / $1,367.56	Facility		$531.29	$710.68	$1,367.56
United Facility/Professional Professional Modifier Low / Median / High Price $130.29 / $160.74 / $290.88	Professional		$130.29	$160.74	$290.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $68.84 / $107.91	Professional		$68.84	$68.84	$107.91