Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.98 / $220.02 / $14,464.32	Facility		$88.98	$220.02	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.55 / $95.13 / $217.86	Professional		$58.55	$95.13	$217.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $97.34 / $216.50	Facility		$55.00	$97.34	$216.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $83.21 / $135.22 / $399.53	Professional		$83.21	$135.22	$399.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.43 / $113.96 / $200.79	Professional		$64.43	$113.96	$200.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $64.93 / $114.45 / $191.98	Facility		$64.93	$114.45	$191.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.93 / $115.42 / $194.26	Professional		$64.93	$115.42	$194.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.41 / $100.46 / $177.56	Professional		$18.41	$100.46	$177.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $89.88 / $138.58 / $148.24	Facility		$89.88	$138.58	$148.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.34 / $97.34 / $97.85	Facility		$97.34	$97.34	$97.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $120.02 / $178.67	Professional		$81.17	$120.02	$178.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $115.78 / $175.68	Professional		$77.54	$115.78	$175.68
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.62 / $126.67 / $208.89	Professional		$88.62	$126.67	$208.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.18 / $58.25 / $76.02	Professional		$49.18	$58.25	$76.02