Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.11 / $106.52 / $9,703.00	Facility		$34.11	$106.52	$9,703.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.57 / $34.27 / $102.14	Professional		$15.57	$34.27	$102.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $54.81 / $55.00 / $610.19	Facility		$54.81	$55.00	$610.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $76.23 / $295.68	Professional		$35.57	$76.23	$295.68
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $45.39 / $118.04 / $118.04	Professional	50	$45.39	$118.04	$118.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $1,110.00	Facility		$644.92	$1,110.00	$1,110.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.42 / $54.08 / $105.35	Professional		$32.42	$54.08	$105.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $56.93 / $96.12	Facility		$36.00	$56.93	$96.12
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $686.78 / $686.78 / $686.78	Facility	50	$686.78	$686.78	$686.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.58 / $59.89 / $100.05	Professional		$36.58	$59.89	$100.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $100.61 / $177.28	Professional		$17.68	$100.61	$177.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.78 / $76.63 / $81.59	Facility		$43.78	$76.63	$81.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.81 / $54.81 / $54.84	Facility		$54.81	$54.81	$54.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.25 / $62.51 / $101.25	Professional		$37.25	$62.51	$101.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $484.33 / $484.33 / $610.19	Facility		$484.33	$484.33	$610.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $55.90 / $92.88	Professional		$35.57	$55.90	$92.88
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 $47.60 / $61.92 / $116.03	Professional		$47.60	$61.92	$116.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.51 / $25.51 / $43.27	Professional		$25.51	$25.51	$43.27