Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.21 / $240.99 / $12,369.18	Facility		$109.21	$240.99	$12,369.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $80.18 / $176.36	Professional		$56.42	$80.18	$176.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,633.02 / $5,709.61	Facility		$55.00	$2,633.02	$5,709.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $91.49 / $159.88 / $555.60	Professional		$91.49	$159.88	$555.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.54 / $466.83 / $636.00	Facility		$62.54	$466.83	$636.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $131.06 / $230.29	Professional		$71.52	$131.06	$230.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $129.66 / $233.14	Facility		$70.20	$129.66	$233.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $124.80 / $196.94	Professional		$68.06	$124.80	$196.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $108.38 / $183.50	Professional		$18.01	$108.38	$183.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $100.80 / $146.60 / $160.80	Facility		$100.80	$146.60	$160.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.50 / $101.02 / $102.83	Facility		$55.50	$101.02	$102.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $139.62 / $197.92	Professional		$95.50	$139.62	$197.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,153.55 / $4,321.81 / $8,267.12	Facility		$3,153.55	$4,321.81	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $96.62 / $131.47 / $180.12	Professional		$96.62	$131.47	$180.12
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $6,857.00	Facility		$650.00	$1,120.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.14 / $134.19 / $218.43	Professional		$86.14	$134.19	$218.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.12 / $65.59 / $82.96	Professional		$62.12	$65.59	$82.96