Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.47 / $231.82 / $20,680.40	Facility		$109.47	$231.82	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.33 / $106.09 / $210.82	Professional		$74.33	$106.09	$210.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $110.99 / $372.39	Facility		$55.00	$110.99	$372.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $120.48 / $190.86 / $720.15	Professional		$120.48	$190.86	$720.15
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 $91.93 / $149.54 / $241.07	Professional		$91.93	$149.54	$241.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $77.19 / $165.30 / $208.12	Facility		$77.19	$165.30	$208.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.19 / $159.38 / $208.67	Professional		$77.19	$159.38	$208.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $160.40 / $272.69	Professional		$26.86	$160.40	$272.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $119.07 / $154.96 / $163.47	Facility		$119.07	$154.96	$163.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.99 / $110.99 / $111.51	Facility		$110.99	$110.99	$111.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.71 / $184.90 / $223.17	Professional		$116.71	$184.90	$223.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $131.08 / $160.41 / $210.18	Professional		$131.08	$160.41	$210.18
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 $91.33 / $138.51 / $234.63	Professional		$91.33	$138.51	$234.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $83.86 / $83.86	Professional		$67.91	$83.86	$83.86