Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.31 / $4,497.00 / $18,711.00	Facility		$88.31	$4,497.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $84.00 / $99.92	Professional		$65.48	$84.00	$99.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.28 / $144.40 / $364.85	Facility		$100.28	$144.40	$364.85
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $170.65 / $693.68	Professional		$80.59	$170.65	$693.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.72 / $126.72 / $126.72	Professional		$126.72	$126.72	$126.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.66 / $257.66 / $257.66	Professional		$257.66	$257.66	$257.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $105.95 / $157.86 / $161.47	Facility		$105.95	$157.86	$161.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.17 / $109.17 / $110.14	Facility		$109.17	$109.17	$110.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.14 / $180.34 / $219.48	Professional		$114.14	$180.34	$219.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $100.28 / $120.33 / $228.63	Facility		$100.28	$120.33	$228.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $111.34 / $151.59 / $208.71	Professional		$111.34	$151.59	$208.71
United Facility/Professional Professional Modifier Low / Median / High Price $82.51 / $90.37 / $228.96	Professional		$82.51	$90.37	$228.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $33.32 / $33.32	Professional		$33.32	$33.32	$33.32