Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.79 / $362.52 / $14,464.32	Facility		$141.79	$362.52	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $145.26 / $357.31	Professional		$68.45	$145.26	$357.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $155.43 / $155.43 / $155.43	Professional	50	$155.43	$155.43	$155.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $346.65 / $2,583.03 / $6,683.07	Facility		$346.65	$2,583.03	$6,683.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $124.56 / $229.39 / $2,139.00	Professional		$124.56	$229.39	$2,139.00
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $223.26 / $230.40 / $448.50	Professional	50	$223.26	$230.40	$448.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,132.06	Facility		$466.83	$568.48	$1,132.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.98 / $189.84 / $414.48	Professional		$93.98	$189.84	$414.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $93.74 / $181.48 / $840.73	Facility		$93.74	$181.48	$840.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.74 / $181.15 / $491.14	Professional		$93.74	$181.15	$491.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $201.32 / $357.49	Professional		$36.31	$201.32	$357.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $140.69 / $241.20 / $294.80	Facility		$140.69	$241.20	$294.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.32 / $201.08 / $927.31	Facility		$199.32	$201.08	$927.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.71 / $201.08 / $364.24	Professional		$127.71	$201.08	$364.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,674.98 / $2,581.55 / $4,941.05	Facility		$1,674.98	$2,581.55	$4,941.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $122.24 / $203.28 / $359.66	Professional		$122.24	$203.28	$359.66
United Facility/Professional Facility Modifier Low / Median / High Price $472.00 / $938.00 / $4,611.00	Facility		$472.00	$938.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.90 / $240.35 / $415.16	Professional		$165.90	$240.35	$415.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.96 / $119.26 / $162.07	Professional		$81.96	$119.26	$162.07