Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.15 / $1,731.24 / $9,248.00	Facility		$201.15	$1,731.24	$9,248.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.04 / $169.85 / $465.97	Professional		$90.04	$169.85	$465.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $242.11 / $1,949.61 / $3,814.01	Facility		$242.11	$1,949.61	$3,814.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $149.59 / $444.00 / $1,853.36	Professional		$149.59	$444.00	$1,853.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.83 / $299.83 / $455.86	Facility		$299.83	$299.83	$455.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.46 / $263.08 / $667.56	Professional		$132.46	$263.08	$667.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $148.32 / $257.61 / $509.32	Facility		$148.32	$257.61	$509.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $262.56 / $561.23	Professional		$149.69	$262.56	$561.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.96 / $194.07 / $537.51	Professional		$34.96	$194.07	$537.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $186.06 / $340.36 / $483.43	Facility		$186.06	$340.36	$483.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.55 / $344.58 / $349.26	Facility		$124.55	$344.58	$349.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.46 / $314.80 / $631.47	Professional		$149.46	$314.80	$631.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,292.92 / $1,992.71 / $3,814.01	Facility		$1,292.92	$1,992.71	$3,814.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $142.76 / $299.23 / $579.34	Professional		$142.76	$299.23	$579.34
United Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $887.00 / $4,611.00	Facility		$350.00	$887.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $233.61 / $298.01 / $691.06	Professional		$233.61	$298.01	$691.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $116.53 / $116.53 / $281.48	Professional		$116.53	$116.53	$281.48