Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.16 / $253.46 / $14,464.32	Facility		$141.16	$253.46	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.29 / $112.08 / $210.02	Professional		$81.29	$112.08	$210.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $372.20 / $372.20	Facility		$55.00	$372.20	$372.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $113.48 / $202.80 / $903.00	Professional		$113.48	$202.80	$903.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.15 / $163.15 / $299.43	Professional		$96.15	$163.15	$299.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $88.92 / $177.37 / $244.70	Facility		$88.92	$177.37	$244.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.23 / $177.10 / $248.30	Professional		$88.23	$177.10	$248.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.39 / $161.95 / $273.41	Professional		$27.39	$161.95	$273.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $134.21 / $185.59 / $215.07	Facility		$134.21	$185.59	$215.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.34 / $141.34 / $146.69	Facility		$141.34	$141.34	$146.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.44 / $195.29 / $274.08	Professional		$140.44	$195.29	$274.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $129.36 / $178.44 / $249.26	Professional		$129.36	$178.44	$249.26
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 $107.12 / $172.20 / $300.19	Professional		$107.12	$172.20	$300.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.53 / $85.53 / $117.89	Professional		$85.53	$85.53	$117.89