Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.19 / $321.72 / $17,100.00	Facility		$100.19	$321.72	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $119.39 / $288.04	Professional		$58.70	$119.39	$288.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $152.63 / $494.35	Facility		$55.00	$152.63	$494.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $98.66 / $210.65 / $854.46	Professional		$98.66	$210.65	$854.46
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 $76.25 / $147.96 / $316.93	Professional		$76.25	$147.96	$316.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $72.56 / $141.74 / $286.83	Facility		$72.56	$141.74	$286.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $141.86 / $288.04	Professional		$72.56	$141.86	$288.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.13 / $151.02 / $268.52	Professional		$27.13	$151.02	$268.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $119.93 / $212.39 / $231.15	Facility		$119.93	$212.39	$231.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.21 / $152.21 / $152.63	Facility		$152.21	$152.21	$152.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.52 / $152.63 / $279.79	Professional		$92.52	$152.63	$279.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $87.78 / $155.22 / $274.05	Professional		$87.78	$155.22	$274.05
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 $133.41 / $184.80 / $313.82	Professional		$133.41	$184.80	$313.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.11 / $90.00 / $120.59	Professional		$53.11	$90.00	$120.59