Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.61 / $325.31 / $9,703.00	Facility		$113.61	$325.31	$9,703.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.70 / $136.56 / $376.81	Professional		$73.70	$136.56	$376.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $144.47 / $361.80 / $706.71	Facility		$144.47	$361.80	$706.71
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $15.75 / $28.61 / $46.68	Facility	AS	$15.75	$28.61	$46.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $89.80 / $194.40 / $743.20	Professional		$89.80	$194.40	$743.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.87 / $160.19 / $279.76	Professional		$89.87	$160.19	$279.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $106.58 / $177.93 / $309.94	Facility		$106.58	$177.93	$309.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $182.14 / $302.92	Professional		$112.00	$182.14	$302.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $149.78 / $268.52	Professional		$27.16	$149.78	$268.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $135.09 / $196.41 / $262.64	Facility		$135.09	$196.41	$262.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.35 / $136.35 / $138.47	Facility		$136.35	$136.35	$138.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.76 / $154.57 / $253.82	Professional		$89.76	$154.57	$253.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $234.74 / $361.80 / $692.47	Facility		$234.74	$361.80	$692.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $86.39 / $139.06 / $237.60	Professional		$86.39	$139.06	$237.60
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 $126.08 / $174.90 / $292.54	Professional		$126.08	$174.90	$292.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $65.56 / $110.55	Professional		$65.56	$65.56	$110.55