Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.50 / $325.98 / $20,680.40	Facility		$151.50	$325.98	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $147.84 / $296.45	Professional		$109.53	$147.84	$296.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $153.11 / $510.17	Facility		$55.00	$153.11	$510.17
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $170.35 / $270.27 / $988.43	Professional		$170.35	$270.27	$988.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.41 / $207.42 / $331.42	Professional		$130.41	$207.42	$331.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $116.55 / $232.26 / $339.60	Facility		$116.55	$232.26	$339.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.64 / $223.94 / $326.25	Professional		$108.64	$223.94	$326.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.84 / $202.34 / $345.04	Professional		$33.84	$202.34	$345.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $184.46 / $212.29 / $226.46	Facility		$184.46	$212.29	$226.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.11 / $153.11 / $153.55	Facility		$153.11	$153.11	$153.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.05 / $256.42 / $309.50	Professional		$162.05	$256.42	$309.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $180.83 / $221.73 / $292.37	Professional		$180.83	$221.73	$292.37
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $5,793.00	Facility		$650.00	$1,120.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.22 / $213.77 / $338.51	Professional		$134.22	$213.77	$338.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.04 / $113.93 / $113.93	Professional		$93.04	$113.93	$113.93