Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.54 / $211.23 / $14,464.32	Facility		$74.54	$211.23	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.69 / $89.89 / $200.99	Professional		$37.69	$89.89	$200.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $102.39 / $786.75 / $1,605.58	Facility		$102.39	$786.75	$1,605.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $166.66 / $656.16	Professional		$71.81	$166.66	$656.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.68 / $500.00 / $568.48	Facility		$138.68	$500.00	$568.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.99 / $107.38 / $247.99	Professional		$53.99	$107.38	$247.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $51.35 / $102.38 / $280.64	Facility		$51.35	$102.38	$280.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.35 / $101.65 / $229.81	Professional		$51.35	$101.65	$229.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.95 / $151.29 / $268.52	Professional		$26.95	$151.29	$268.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.73 / $148.07 / $178.89	Facility		$81.73	$148.07	$178.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.91 / $119.59 / $137.87	Facility		$45.91	$119.59	$137.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.54 / $116.81 / $221.71	Professional		$67.54	$116.81	$221.71
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 $65.16 / $121.97 / $208.85	Professional		$65.16	$121.97	$208.85
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 $70.56 / $121.49 / $233.07	Professional		$70.56	$121.49	$233.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $72.59 / $98.35	Professional		$42.71	$72.59	$98.35