Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.55 / $4,497.00 / $18,711.00	Facility		$149.55	$4,497.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.90 / $149.55 / $471.20	Professional		$111.90	$149.55	$471.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $555.45 / $2,000.00	Facility		$55.00	$555.45	$2,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $159.94 / $261.45 / $1,634.59	Professional		$159.94	$261.45	$1,634.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.77 / $216.13 / $354.36	Professional		$125.77	$216.13	$354.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $114.70 / $249.14 / $331.77	Facility		$114.70	$249.14	$331.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $242.53 / $327.56	Professional		$115.77	$242.53	$327.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $192.50 / $227.34 / $234.50	Facility		$192.50	$227.34	$234.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.74 / $156.74 / $159.94	Facility		$156.74	$156.74	$159.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.83 / $256.04 / $317.49	Professional		$179.83	$256.04	$317.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $159.85 / $227.67 / $303.91	Professional		$159.85	$227.67	$303.91
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 $143.63 / $189.38 / $337.94	Professional		$143.63	$189.38	$337.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.38 / $141.38 / $141.38	Professional		$141.38	$141.38	$141.38