Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.80 / $343.37 / $11,522.02	Facility		$105.80	$343.37	$11,522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $149.52 / $343.37	Professional		$81.92	$149.52	$343.37
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 $114.00 / $261.01 / $1,175.18	Professional		$114.00	$261.01	$1,175.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.53 / $183.16 / $377.44	Professional		$94.53	$183.16	$377.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $108.90 / $190.60 / $375.71	Facility		$108.90	$190.60	$375.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $197.22 / $375.71	Professional		$108.90	$197.22	$375.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.64 / $201.23 / $354.56	Professional		$35.64	$201.23	$354.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $143.38 / $259.85 / $288.32	Facility		$143.38	$259.85	$288.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.88 / $193.88 / $196.51	Facility		$193.88	$193.88	$196.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.08 / $196.51 / $358.41	Professional		$106.08	$196.51	$358.41
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 $102.10 / $195.42 / $350.56	Professional		$102.10	$195.42	$350.56
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 $172.00 / $238.47 / $415.15	Professional		$172.00	$238.47	$415.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $75.06 / $155.56	Professional		$75.06	$75.06	$155.56