Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.39 / $7,920.26 / $27,982.24	Facility		$80.39	$7,920.26	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.02 / $80.39 / $90.13	Professional		$57.02	$80.39	$90.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $85.86 / $128.61 / $336.07	Facility		$85.86	$128.61	$336.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $88.09 / $165.93 / $638.63	Professional		$88.09	$165.93	$638.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.22 / $99.22 / $99.22	Professional		$99.22	$99.22	$99.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $38.03 / $103.67 / $187.25	Facility		$38.03	$103.67	$187.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.46 / $237.46 / $237.46	Professional		$237.46	$237.46	$237.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.25 / $64.55 / $71.34	Facility		$31.25	$64.55	$71.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.57 / $100.57 / $101.45	Facility		$100.57	$100.57	$101.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.06 / $166.12 / $201.38	Professional		$114.06	$166.12	$201.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $81.63 / $108.15 / $204.42	Facility		$81.63	$108.15	$204.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.48 / $128.52 / $184.26	Professional		$95.48	$128.52	$184.26
United Facility/Professional Professional Modifier Low / Median / High Price $92.82 / $121.55 / $215.48	Professional		$92.82	$121.55	$215.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $56.93 / $80.72	Professional		$34.44	$56.93	$80.72