Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.88 / $1,086.95 / $5,116.62	Facility		$178.88	$1,086.95	$5,116.62
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $61.67 / $122.59 / $184.86	Facility	52	$61.67	$122.59	$184.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.58 / $133.46 / $322.19	Professional		$86.58	$133.46	$322.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $97.32 / $1,104.92 / $2,161.55	Facility		$97.32	$1,104.92	$2,161.55
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $201.23 / $347.84 / $354.86	Facility	52	$201.23	$347.84	$354.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $133.91 / $258.20 / $967.36	Professional		$133.91	$258.20	$967.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.99 / $125.99 / $191.55	Facility		$125.99	$125.99	$191.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.65 / $193.61 / $346.41	Professional		$121.65	$193.61	$346.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $121.10 / $197.50 / $329.13	Facility		$121.10	$197.50	$329.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.85 / $199.90 / $312.66	Professional		$122.85	$199.90	$312.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $174.43 / $324.46	Professional		$31.89	$174.43	$324.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $116.25 / $177.12 / $255.80	Facility		$116.25	$177.12	$255.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $173.95 / $178.69	Facility		$77.00	$173.95	$178.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.77 / $228.47 / $327.54	Professional		$136.77	$228.47	$327.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $732.75 / $1,129.34 / $2,161.55	Facility		$732.75	$1,129.34	$2,161.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $190.33 / $306.48	Professional		$128.90	$190.33	$306.48
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.82 / $192.92 / $376.54	Professional		$155.82	$192.92	$376.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.57 / $106.57 / $145.24	Professional		$106.57	$106.57	$145.24