Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.80 / $358.50 / $954.50	Facility		$95.80	$358.50	$954.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $85.00 / $218.93	Professional		$43.79	$85.00	$218.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $115.52 / $436.62 / $987.53	Facility		$115.52	$436.62	$987.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $87.68 / $171.66 / $675.60	Professional		$87.68	$171.66	$675.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.01 / $154.01 / $154.01	Facility		$154.01	$154.01	$154.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.09 / $112.72 / $247.77	Professional		$64.09	$112.72	$247.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $61.36 / $114.73 / $214.55	Facility		$61.36	$114.73	$214.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.36 / $114.73 / $209.02	Professional		$61.36	$114.73	$209.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $151.02 / $269.28	Professional		$27.14	$151.02	$269.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $91.90 / $155.88 / $184.25	Facility		$91.90	$155.88	$184.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.91 / $115.52 / $131.84	Facility		$43.91	$115.52	$131.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.82 / $133.72 / $221.54	Professional		$85.82	$133.72	$221.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $289.56 / $446.53 / $854.16	Facility		$289.56	$446.53	$854.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $76.39 / $124.85 / $209.55	Professional		$76.39	$124.85	$209.55
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 $96.40 / $136.88 / $252.70	Professional		$96.40	$136.88	$252.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.04 / $78.13 / $106.19	Professional		$58.04	$78.13	$106.19