Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.69 / $362.42 / $17,100.00	Facility		$125.69	$362.42	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.97 / $139.46 / $353.43	Professional		$60.97	$139.46	$353.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $176.86 / $311.83 / $16,394.00	Facility		$176.86	$311.83	$16,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $210.02 / $1,510.76	Professional		$97.44	$210.02	$1,510.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $906.00 / $906.00	Facility		$564.00	$906.00	$906.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.77 / $172.94 / $341.94	Professional		$89.77	$172.94	$341.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $98.00 / $170.71 / $319.89	Facility		$98.00	$170.71	$319.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.80 / $175.82 / $335.79	Professional		$100.80	$175.82	$335.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $150.05 / $267.18	Professional		$27.11	$150.05	$267.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $138.69 / $247.99 / $268.00	Facility		$138.69	$247.99	$268.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.86 / $176.86 / $177.58	Facility		$176.86	$176.86	$177.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $180.66 / $324.19	Professional		$97.44	$180.66	$324.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $908.79 / $908.79 / $1,144.93	Facility		$908.79	$908.79	$1,144.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.79 / $178.99 / $299.54	Professional		$93.79	$178.99	$299.54
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 $162.12 / $206.55 / $382.15	Professional		$162.12	$206.55	$382.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $71.98 / $141.05	Professional		$71.98	$71.98	$141.05