Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.56 / $114.15 / $227.36	Facility		$79.56	$114.15	$227.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $87.93 / $223.57	Professional		$43.65	$87.93	$223.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $87.77 / $418.55 / $854.16	Facility		$87.77	$418.55	$854.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $162.77 / $648.48	Professional		$73.84	$162.77	$648.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.04 / $144.04 / $144.04	Facility		$144.04	$144.04	$144.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.48 / $113.81 / $238.21	Professional		$56.48	$113.81	$238.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $55.88 / $103.97 / $209.87	Facility		$55.88	$103.97	$209.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.88 / $103.97 / $206.53	Professional		$55.88	$103.97	$206.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $151.29 / $268.52	Professional		$27.01	$151.29	$268.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $85.76 / $159.46 / $177.55	Facility		$85.76	$159.46	$177.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.90 / $111.89 / $125.81	Facility		$41.90	$111.89	$125.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $121.11 / $215.04	Professional		$71.98	$121.11	$215.04
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 $66.15 / $114.11 / $202.97	Professional		$66.15	$114.11	$202.97
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 $98.00 / $133.27 / $235.61	Professional		$98.00	$133.27	$235.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.81 / $74.81 / $101.27	Professional		$46.81	$74.81	$101.27