Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.78 / $230.27 / $14,464.32	Facility		$122.78	$230.27	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.29 / $122.78 / $223.36	Professional		$68.29	$122.78	$223.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $128.65 / $407.21 / $12,000.00	Facility		$128.65	$407.21	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $124.55 / $221.05 / $766.65	Professional		$124.55	$221.05	$766.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $421.10 / $731.00 / $731.00	Facility		$421.10	$731.00	$731.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.74 / $154.65 / $283.24	Professional		$103.74	$154.65	$283.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $113.87 / $162.72 / $234.18	Facility		$113.87	$162.72	$234.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.97 / $178.59 / $249.18	Professional		$113.97	$178.59	$249.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $150.24 / $264.34	Professional		$26.42	$150.24	$264.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $127.12 / $170.65 / $192.29	Facility		$127.12	$170.65	$192.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.65 / $128.65 / $131.16	Facility		$128.65	$128.65	$131.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.55 / $202.95 / $248.38	Professional		$124.55	$202.95	$248.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,568.04 / $2,568.04 / $3,235.34	Facility		$2,568.04	$2,568.04	$3,235.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $172.21 / $236.72	Professional		$120.54	$172.21	$236.72
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 $116.03 / $147.16 / $276.14	Professional		$116.03	$147.16	$276.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.24 / $94.24 / $102.92	Professional		$94.24	$94.24	$102.92