Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.21 / $305.57 / $14,464.32	Facility		$162.21	$305.57	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $121.51 / $260.73	Professional		$81.56	$121.51	$260.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $877.58 / $2,059.91	Facility		$55.00	$877.58	$2,059.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $138.03 / $238.63 / $819.52	Professional		$138.03	$238.63	$819.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.18 / $130.25 / $130.25	Facility		$78.18	$130.25	$130.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.19 / $189.91 / $338.38	Professional		$107.19	$189.91	$338.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $187.05 / $364.06	Facility		$96.60	$187.05	$364.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $180.68 / $297.83	Professional		$91.70	$180.68	$297.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.13 / $163.42 / $276.14	Professional		$27.13	$163.42	$276.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $155.40 / $194.91 / $247.90	Facility		$155.40	$194.91	$247.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.56 / $154.01 / $157.19	Facility		$80.56	$154.01	$157.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.79 / $209.77 / $304.55	Professional		$143.79	$209.77	$304.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,011.08 / $1,558.33 / $2,982.61	Facility		$1,011.08	$1,558.33	$2,982.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.53 / $197.47 / $266.89	Professional		$144.53	$197.47	$266.89
United Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $497.00 / $5,793.00	Facility		$125.00	$497.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.04 / $197.13 / $343.21	Professional		$127.04	$197.13	$343.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $82.55 / $85.95 / $109.62	Professional		$82.55	$85.95	$109.62