Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.22 / $314.80 / $14,464.32	Facility		$164.22	$314.80	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.54 / $164.22 / $312.02	Professional		$86.54	$164.22	$312.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $173.95 / $786.75 / $1,605.58	Facility		$173.95	$786.75	$1,605.58
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $224.94 / $415.40 / $415.40	Facility	52	$224.94	$415.40	$415.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $177.41 / $278.23 / $1,021.43	Professional		$177.41	$278.23	$1,021.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.66 / $714.97 / $870.49	Facility		$197.66	$714.97	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.69 / $214.89 / $381.22	Professional		$119.69	$214.89	$381.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $107.68 / $195.37 / $295.50	Facility		$107.68	$195.37	$295.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $191.39 / $295.50	Professional		$106.33	$191.39	$295.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.20 / $176.53 / $326.47	Professional		$32.20	$176.53	$326.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $154.86 / $225.79 / $268.67	Facility		$154.86	$225.79	$268.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.22 / $173.95 / $183.83	Facility		$61.22	$173.95	$183.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.69 / $261.47 / $326.49	Professional		$180.69	$261.47	$326.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $544.28 / $838.87 / $1,605.58	Facility		$544.28	$838.87	$1,605.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $159.04 / $241.54 / $322.87	Professional		$159.04	$241.54	$322.87
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 $145.74 / $197.79 / $354.93	Professional		$145.74	$197.79	$354.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.43 / $124.83 / $147.32	Professional		$110.43	$124.83	$147.32