Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.06 / $386.10 / $9,703.00	Facility		$102.06	$386.10	$9,703.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.47 / $88.94 / $209.27	Professional		$51.47	$88.94	$209.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $261.80 / $567.02 / $1,107.58	Facility		$261.80	$567.02	$1,107.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $79.03 / $165.73 / $636.72	Professional		$79.03	$165.73	$636.72
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 $69.92 / $116.08 / $229.51	Professional		$69.92	$116.08	$229.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $73.92 / $124.57 / $207.79	Facility		$73.92	$124.57	$207.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.50 / $125.07 / $207.79	Professional		$75.50	$125.07	$207.79
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 $93.39 / $154.10 / $173.53	Facility		$93.39	$154.10	$173.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.70 / $113.70 / $118.36	Facility		$113.70	$113.70	$118.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $132.28 / $216.96	Professional		$78.95	$132.28	$216.96
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 $73.92 / $115.96 / $200.05	Professional		$73.92	$115.96	$200.05
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 $100.51 / $125.75 / $247.16	Professional		$100.51	$125.75	$247.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.08 / $61.08 / $96.21	Professional		$61.08	$61.08	$96.21