Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.13 / $193.36 / $14,464.32	Facility		$81.13	$193.36	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.27 / $66.06 / $129.69	Professional		$38.27	$66.06	$129.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $113.70 / $731.93	Facility		$55.00	$113.70	$731.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $133.55 / $3,377.81	Professional		$64.31	$133.55	$3,377.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $1,110.00	Facility		$644.92	$1,110.00	$1,110.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.19 / $98.63 / $213.77	Professional		$56.19	$98.63	$213.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $101.01 / $185.23	Facility		$59.40	$101.01	$185.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $104.03 / $195.99	Professional		$62.50	$104.03	$195.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $99.99 / $175.76	Professional		$18.01	$99.99	$175.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $89.11 / $139.40 / $162.81	Facility		$89.11	$139.40	$162.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.05 / $111.05 / $113.70	Facility		$111.05	$111.05	$113.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.09 / $114.92 / $203.56	Professional		$62.09	$114.92	$203.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $580.97 / $580.97 / $731.93	Facility		$580.97	$580.97	$731.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.91 / $114.61 / $188.08	Professional		$61.91	$114.61	$188.08
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 $94.92 / $112.43 / $239.44	Professional		$94.92	$112.43	$239.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $45.22 / $87.44	Professional		$45.22	$45.22	$87.44