Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.59 / $257.79 / $13,750.00	Facility		$127.59	$257.79	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.68 / $110.64 / $257.79	Professional		$67.68	$110.64	$257.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $405.50 / $405.50	Facility		$55.00	$405.50	$405.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $109.91 / $221.96 / $2,133.71	Professional		$109.91	$221.96	$2,133.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $155.44 / $331.03	Professional		$84.23	$155.44	$331.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $88.16 / $167.64 / $251.82	Facility		$88.16	$167.64	$251.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.80 / $157.85 / $273.63	Professional		$86.80	$157.85	$273.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.39 / $161.91 / $273.41	Professional		$27.39	$161.91	$273.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $135.34 / $195.84 / $237.85	Facility		$135.34	$195.84	$237.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.72 / $161.72 / $162.24	Facility		$161.72	$161.72	$162.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.56 / $187.77 / $300.22	Professional		$123.56	$187.77	$300.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.63 / $177.50 / $266.68	Professional		$112.63	$177.50	$266.68
United Facility/Professional Facility Modifier Low / Median / High Price $414.00 / $666.00 / $6,216.00	Facility		$414.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.70 / $196.35 / $344.69	Professional		$115.70	$196.35	$344.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.08 / $75.08 / $131.12	Professional		$75.08	$75.08	$131.12