Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.95 / $535.71 / $13,750.00	Facility		$124.95	$535.71	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $208.17 / $514.80	Professional		$71.20	$208.17	$514.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $295.22 / $314.87	Facility		$55.00	$295.22	$314.87
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $124.90 / $329.55 / $1,255.59	Professional		$124.90	$329.55	$1,255.59
Asuris Northwest Health Facility/Professional Professional Modifier 80 Low / Median / High Price $21.12 / $21.80 / $53.11	Professional	80	$21.12	$21.80	$53.11
Asuris Northwest Health Facility/Professional Professional Modifier AS Low / Median / High Price $17.95 / $18.53 / $45.14	Professional	AS	$17.95	$18.53	$45.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.49 / $870.49 / $870.49	Facility		$870.49	$870.49	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.31 / $218.32 / $516.48	Professional		$95.31	$218.32	$516.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $86.56 / $187.86 / $516.76	Facility		$86.56	$187.86	$516.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.54 / $189.67 / $516.76	Professional		$89.54	$189.67	$516.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $212.86 / $364.69	Professional		$36.40	$212.86	$364.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $159.50 / $330.51 / $364.48	Facility		$159.50	$330.51	$364.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.67 / $229.67 / $233.98	Facility		$229.67	$229.67	$233.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.96 / $233.98 / $464.44	Professional		$122.96	$233.98	$464.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.26 / $225.25 / $403.71	Professional		$120.26	$225.25	$403.71
United Facility/Professional Facility Modifier Low / Median / High Price $272.00 / $666.00 / $6,216.00	Facility		$272.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.58 / $335.00 / $516.48	Professional		$220.58	$335.00	$516.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.51 / $70.51 / $188.90	Professional		$70.51	$70.51	$188.90