Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.64 / $87.64 / $87.64	Facility		$87.64	$87.64	$87.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.18 / $84.00 / $95.42	Professional		$62.18	$84.00	$95.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $105.69 / $140.99 / $384.51	Facility		$105.69	$140.99	$384.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $111.34 / $199.67 / $730.50	Professional		$111.34	$199.67	$730.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.55 / $133.55 / $133.55	Professional		$133.55	$133.55	$133.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.32 / $175.32 / $175.32	Professional		$175.32	$175.32	$175.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $50.00	Professional		$30.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $111.76 / $166.49 / $170.18	Facility		$111.76	$166.49	$170.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.63 / $109.63 / $116.08	Facility		$109.63	$109.63	$116.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.98 / $189.95 / $230.40	Professional		$120.98	$189.95	$230.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $105.69 / $126.83 / $240.97	Facility		$105.69	$126.83	$240.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $111.34 / $160.22 / $209.67	Professional		$111.34	$160.22	$209.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,021.00 / $1,323.00 / $36,803.00	Facility		$1,021.00	$1,323.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $137.16 / $238.18	Professional		$86.98	$137.16	$238.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $84.85 / $84.85	Professional		$84.85	$84.85	$84.85