Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.65 / $228.02 / $4,500.00	Facility		$71.65	$228.02	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $132.00 / $299.42	Professional		$66.31	$132.00	$299.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $249.58 / $567.02 / $1,107.58	Facility		$249.58	$567.02	$1,107.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $83.07 / $213.42 / $1,006.26	Professional		$83.07	$213.42	$1,006.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.33 / $148.28 / $309.61	Professional		$73.33	$148.28	$309.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $84.15 / $168.75 / $332.59	Facility		$84.15	$168.75	$332.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.15 / $165.34 / $323.70	Professional		$84.15	$165.34	$323.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $150.05 / $267.18	Professional		$27.01	$150.05	$267.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $111.22 / $216.41 / $239.80	Facility		$111.22	$216.41	$239.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.10 / $158.10 / $160.86	Facility		$158.10	$158.10	$160.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.56 / $160.86 / $294.87	Professional		$82.56	$160.86	$294.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $367.90 / $567.35 / $1,085.27	Facility		$367.90	$567.35	$1,085.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $153.19 / $286.89	Professional		$79.45	$153.19	$286.89
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 $142.02 / $197.39 / $336.30	Professional		$142.02	$197.39	$336.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.44 / $58.44 / $128.68	Professional		$58.44	$58.44	$128.68