Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.41 / $296.98 / $18,711.00	Facility		$137.41	$296.98	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.93 / $115.99 / $353.87	Professional		$65.93	$115.99	$353.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $127.14 / $1,104.92 / $2,161.55	Facility		$127.14	$1,104.92	$2,161.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $105.64 / $289.68 / $1,157.35	Professional		$105.64	$289.68	$1,157.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.25 / $160.25 / $243.64	Facility		$160.25	$160.25	$243.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.19 / $199.87 / $415.35	Professional		$97.19	$199.87	$415.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $109.39 / $190.36 / $380.65	Facility		$109.39	$190.36	$380.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.40 / $197.23 / $381.13	Professional		$110.40	$197.23	$381.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.17 / $200.24 / $357.19	Professional		$36.17	$200.24	$357.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $140.91 / $206.79 / $306.19	Facility		$140.91	$206.79	$306.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.45 / $210.65 / $213.42	Facility		$103.45	$210.65	$213.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.62 / $210.15 / $391.40	Professional		$105.62	$210.15	$391.40
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 $99.33 / $191.16 / $361.46	Professional		$99.33	$191.16	$361.46
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 $171.37 / $235.34 / $447.45	Professional		$171.37	$235.34	$447.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.78 / $78.78 / $173.49	Professional		$78.78	$78.78	$173.49