Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.60 / $127.94 / $7,984.74	Facility		$46.60	$127.94	$7,984.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $39.00 / $111.14	Professional		$22.82	$39.00	$111.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $83.46 / $173.34 / $338.40	Facility		$83.46	$173.34	$338.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $35.34 / $82.34 / $335.60	Professional		$35.34	$82.34	$335.60
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $58.65 / $72.90 / $72.90	Professional	50	$58.65	$72.90	$72.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $57.45 / $118.70	Professional		$30.69	$57.45	$118.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $34.56 / $60.02 / $112.94	Facility		$34.56	$60.02	$112.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $62.51 / $110.73	Professional		$34.65	$62.51	$110.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $100.61 / $177.40	Professional		$17.68	$100.61	$177.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.18 / $82.11 / $89.78	Facility		$41.18	$82.11	$89.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.89 / $58.89 / $61.24	Facility		$58.89	$58.89	$61.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $61.24 / $110.02	Professional		$33.60	$61.24	$110.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $132.41 / $176.65 / $331.58	Facility		$132.41	$176.65	$331.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $59.36 / $103.72	Professional		$32.34	$59.36	$103.72
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 $54.19 / $70.31 / $127.44	Professional		$54.19	$70.31	$127.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $24.45 / $49.71	Professional		$24.45	$24.45	$49.71