Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.50 / $238.40 / $14,464.32	Facility		$112.50	$238.40	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $95.44 / $200.93	Professional		$55.33	$95.44	$200.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $786.75 / $1,605.58	Facility		$104.71	$786.75	$1,605.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $108.49 / $173.56 / $646.88	Professional		$108.49	$173.56	$646.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.39 / $714.97 / $870.49	Facility		$113.39	$714.97	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $137.12 / $247.42	Professional		$78.95	$137.12	$247.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $69.48 / $125.76 / $204.88	Facility		$69.48	$125.76	$204.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.48 / $125.76 / $199.42	Professional		$69.48	$125.76	$199.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.35 / $101.01 / $178.11	Professional		$18.35	$101.01	$178.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $115.20 / $160.80 / $176.88	Facility		$115.20	$160.80	$176.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.86 / $116.87 / $120.65	Facility		$34.86	$116.87	$120.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.86 / $157.58 / $219.21	Professional		$108.86	$157.58	$219.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $544.28 / $838.87 / $1,605.58	Facility		$544.28	$838.87	$1,605.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $99.75 / $145.16 / $210.01	Professional		$99.75	$145.16	$210.01
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $140.94 / $253.92	Professional		$102.26	$140.94	$253.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.67 / $73.43 / $97.11	Professional		$70.67	$73.43	$97.11