Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.11 / $10,122.46 / $27,982.24	Facility		$100.11	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.59 / $100.11 / $107.92	Professional		$62.59	$100.11	$107.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $236.51 / $1,779.82 / $3,404.60	Facility		$236.51	$1,779.82	$3,404.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $103.69 / $186.43 / $691.80	Professional		$103.69	$186.43	$691.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.44 / $511.44 / $777.59	Facility		$511.44	$511.44	$777.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.35 / $128.97 / $238.68	Professional		$85.35	$128.97	$238.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $97.20 / $165.30 / $681.92	Facility		$97.20	$165.30	$681.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.79 / $165.30 / $681.92	Professional		$99.79	$165.30	$681.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $71.65	Professional		$45.00	$50.00	$71.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $78.20 / $144.32 / $158.79	Facility		$78.20	$144.32	$158.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.19 / $108.31 / $350.25	Facility		$104.19	$108.31	$350.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.31 / $178.81 / $214.98	Professional		$108.31	$178.81	$214.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,154.13 / $1,778.80 / $3,404.60	Facility		$1,154.13	$1,778.80	$3,404.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $105.02 / $145.63 / $201.73	Professional		$105.02	$145.63	$201.73
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 $92.21 / $115.42 / $223.24	Professional		$92.21	$115.42	$223.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $73.42	Professional		$73.42	$73.42	$73.42