Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.39 / $362.19 / $17,100.00	Facility		$124.39	$362.19	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.62 / $146.66 / $354.29	Professional		$73.62	$146.66	$354.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $188.45 / $607.21	Facility		$55.00	$188.45	$607.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $117.22 / $249.80 / $566.48	Professional		$117.22	$249.80	$566.48
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 $90.84 / $178.86 / $390.41	Professional		$90.84	$178.86	$390.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $90.61 / $176.68 / $341.47	Facility		$90.61	$176.68	$341.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.61 / $176.68 / $348.51	Professional		$90.61	$176.68	$348.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $151.85 / $268.52	Professional		$27.14	$151.85	$268.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $136.01 / $248.04 / $277.38	Facility		$136.01	$248.04	$277.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.28 / $188.28 / $188.45	Facility		$188.28	$188.28	$188.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.85 / $188.28 / $345.13	Professional		$111.85	$188.28	$345.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $108.78 / $192.19 / $338.05	Professional		$108.78	$192.19	$338.05
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 $167.27 / $230.02 / $394.24	Professional		$167.27	$230.02	$394.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.47 / $104.35 / $139.61	Professional		$61.47	$104.35	$139.61