Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.12 / $399.35 / $14,464.32	Facility		$177.12	$399.35	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.68 / $139.86 / $283.42	Professional		$91.68	$139.86	$283.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $108.88 / $567.35 / $1,107.58	Facility		$108.88	$567.35	$1,107.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $290.00 / $1,120.80	Professional		$134.88	$290.00	$1,120.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.68 / $150.68 / $229.09	Facility		$150.68	$150.68	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.77 / $206.67 / $401.39	Professional		$122.77	$206.67	$401.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $212.53 / $362.07	Facility		$128.69	$212.53	$362.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.72 / $219.88 / $362.07	Professional		$135.72	$219.88	$362.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $174.43 / $324.46	Professional		$31.89	$174.43	$324.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $167.63 / $278.38 / $302.83	Facility		$167.63	$278.38	$302.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.88 / $199.32 / $206.56	Facility		$108.88	$199.32	$206.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $231.39 / $378.64	Professional		$134.88	$231.39	$378.64
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 $126.59 / $203.28 / $349.85	Professional		$126.59	$203.28	$349.85
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 $177.24 / $219.44 / $427.49	Professional		$177.24	$219.44	$427.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $105.49 / $105.49 / $168.63	Professional		$105.49	$105.49	$168.63