Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.29 / $196.30 / $7,984.74	Facility		$69.29	$196.30	$7,984.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.85 / $100.91 / $230.52	Professional		$49.85	$100.91	$230.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $86.74 / $1,186.14 / $2,557.48	Facility		$86.74	$1,186.14	$2,557.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $72.90 / $143.44 / $1,797.00	Professional		$72.90	$143.44	$1,797.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.71 / $128.71 / $568.48	Facility		$128.71	$128.71	$568.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $125.51 / $253.81	Professional		$66.81	$125.51	$253.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $71.68 / $129.06 / $271.77	Facility		$71.68	$129.06	$271.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $121.18 / $236.72	Professional		$68.31	$121.18	$236.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $162.26 / $275.07	Professional		$27.14	$162.26	$275.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $121.61 / $168.50 / $206.00	Facility		$121.61	$168.50	$206.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.33 / $117.33 / $121.56	Facility		$117.33	$117.33	$121.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.18 / $121.56 / $227.64	Professional		$74.18	$121.56	$227.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $970.47 / $1,934.75 / $3,703.07	Facility		$970.47	$1,934.75	$3,703.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $65.98 / $119.66 / $202.03	Professional		$65.98	$119.66	$202.03
United Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $648.00 / $6,216.00	Facility		$107.00	$648.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.27 / $158.38 / $248.89	Professional		$91.27	$158.38	$248.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.29 / $73.70 / $98.96	Professional		$45.29	$73.70	$98.96