Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.63 / $2,769.52 / $18,711.00	Facility		$91.63	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.30 / $60.25 / $140.72	Professional		$49.30	$60.25	$140.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $67.64 / $1,230.20 / $1,662.42	Facility		$67.64	$1,230.20	$1,662.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $68.69 / $113.63 / $478.82	Professional		$68.69	$113.63	$478.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $561.29 / $561.29 / $568.48	Facility		$561.29	$561.29	$568.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.29 / $88.63 / $149.80	Professional		$52.29	$88.63	$149.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $53.01 / $109.53 / $492.24	Facility		$53.01	$109.53	$492.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.74 / $96.03 / $317.10	Professional		$47.74	$96.03	$317.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $53.38 / $90.87	Professional		$9.17	$53.38	$90.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $80.23 / $96.04 / $107.25	Facility		$80.23	$96.04	$107.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.50 / $67.50 / $67.64	Facility		$67.50	$67.50	$67.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $112.61 / $136.66	Professional		$69.62	$112.61	$136.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $797.73 / $1,230.20 / $2,353.23	Facility		$797.73	$1,230.20	$2,353.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $97.30 / $127.13	Professional		$68.84	$97.30	$127.13
United Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $691.00 / $5,793.00	Facility		$107.00	$691.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.05 / $79.20 / $143.32	Professional		$53.05	$79.20	$143.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.31 / $51.01 / $51.01	Professional		$40.31	$51.01	$51.01