Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.68 / $186.90 / $18,711.00	Facility		$127.68	$186.90	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $129.01 / $245.12	Professional		$70.98	$129.01	$245.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $131.82 / $713.37 / $1,455.83	Facility		$131.82	$713.37	$1,455.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $117.20 / $197.96 / $751.28	Professional		$117.20	$197.96	$751.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.82 / $157.82 / $157.82	Facility		$157.82	$157.82	$157.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.65 / $150.22 / $286.98	Professional		$83.65	$150.22	$286.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $80.47 / $140.32 / $246.38	Facility		$80.47	$140.32	$246.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.47 / $140.32 / $239.91	Professional		$80.47	$140.32	$239.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $151.29 / $268.52	Professional		$27.16	$151.29	$268.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $105.53 / $177.58 / $205.69	Facility		$105.53	$177.58	$205.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.91 / $131.82 / $140.30	Facility		$45.91	$131.82	$140.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.32 / $172.02 / $250.05	Professional		$116.32	$172.02	$250.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $493.52 / $761.06 / $1,455.83	Facility		$493.52	$761.06	$1,455.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $161.55 / $237.29	Professional		$105.00	$161.55	$237.29
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 $108.81 / $161.87 / $285.00	Professional		$108.81	$161.87	$285.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $86.41 / $116.29	Professional		$77.22	$86.41	$116.29