Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.21 / $375.06 / $14,464.32	Facility		$160.21	$375.06	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $131.62 / $248.26	Professional		$78.79	$131.62	$248.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $311.31 / $567.35 / $1,107.58	Facility		$311.31	$567.35	$1,107.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $122.67 / $271.91 / $1,053.68	Professional		$122.67	$271.91	$1,053.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.75 / $191.74 / $377.84	Professional		$111.75	$191.74	$377.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $125.24 / $199.74 / $359.12	Facility		$125.24	$199.74	$359.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $205.71 / $358.17	Professional		$126.00	$205.71	$358.17
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 $163.58 / $261.57 / $284.75	Facility		$163.58	$261.57	$284.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.54 / $187.54 / $194.23	Facility		$187.54	$187.54	$194.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.67 / $211.19 / $352.35	Professional		$122.67	$211.19	$352.35
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 $115.50 / $191.27 / $328.95	Professional		$115.50	$191.27	$328.95
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 $165.48 / $204.88 / $405.52	Professional		$165.48	$204.88	$405.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $96.05 / $96.05 / $158.79	Professional		$96.05	$96.05	$158.79