Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.90 / $188.52 / $13,750.00	Facility		$94.90	$188.52	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.27 / $68.80 / $165.42	Professional		$33.27	$68.80	$165.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $100.08 / $610.19	Facility		$55.00	$100.08	$610.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $77.47 / $144.35 / $536.96	Professional		$77.47	$144.35	$536.96
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 $67.25 / $108.54 / $191.01	Professional		$67.25	$108.54	$191.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $70.03 / $110.34 / $167.27	Facility		$70.03	$110.34	$167.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $113.55 / $178.40	Professional		$72.45	$113.55	$178.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $100.61 / $177.28	Professional		$18.01	$100.61	$177.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $85.22 / $135.58 / $146.72	Facility		$85.22	$135.58	$146.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.75 / $98.75 / $100.08	Facility		$98.75	$98.75	$100.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.23 / $128.35 / $183.46	Professional		$78.23	$128.35	$183.46
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 $75.31 / $107.16 / $173.64	Professional		$75.31	$107.16	$173.64
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 $86.90 / $113.00 / $209.88	Professional		$86.90	$113.00	$209.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.90 / $55.90 / $77.98	Professional		$55.90	$55.90	$77.98