Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.97 / $326.17 / $18,711.00	Facility		$203.97	$326.17	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.06 / $172.59 / $347.45	Professional		$97.06	$172.59	$347.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $101.24 / $1,656.91 / $3,404.60	Facility		$101.24	$1,656.91	$3,404.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $159.91 / $315.82 / $1,179.83	Professional		$159.91	$315.82	$1,179.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.05 / $135.05 / $205.34	Facility		$135.05	$135.05	$205.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.41 / $226.77 / $422.31	Professional		$140.41	$226.77	$422.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $140.50 / $235.54 / $390.94	Facility		$140.50	$235.54	$390.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.35 / $240.27 / $374.77	Professional		$145.35	$240.27	$374.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $251.08 / $441.44	Professional		$45.17	$251.08	$441.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $163.31 / $267.24 / $322.27	Facility		$163.31	$267.24	$322.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.67 / $212.00 / $219.82	Facility		$76.67	$212.00	$219.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.88 / $264.17 / $402.93	Professional		$158.88	$264.17	$402.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,101.95 / $1,740.33 / $3,404.60	Facility		$1,101.95	$1,740.33	$3,404.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $152.91 / $224.64 / $370.49	Professional		$152.91	$224.64	$370.49
United Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $887.00 / $4,611.00	Facility		$350.00	$887.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.78 / $242.94 / $460.54	Professional		$195.78	$242.94	$460.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $118.36 / $118.36 / $177.56	Professional		$118.36	$118.36	$177.56