Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.91 / $156.81 / $526.10	Facility		$64.91	$156.81	$526.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.23 / $64.91 / $144.47	Professional		$48.23	$64.91	$144.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $935.32 / $2,084.75	Facility		$471.00	$935.32	$2,084.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $82.41 / $145.03 / $2,895.10	Professional		$82.41	$145.03	$2,895.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $934.73 / $1,305.29 / $1,796.10	Facility		$934.73	$1,305.29	$1,796.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.37 / $120.75 / $227.54	Professional		$68.37	$120.75	$227.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $73.42 / $148.34 / $1,002.46	Facility		$73.42	$148.34	$1,002.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.94 / $130.66 / $365.37	Professional		$56.94	$130.66	$365.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $54.31 / $89.76	Professional		$9.16	$54.31	$89.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $94.60 / $113.97 / $261.00	Facility		$94.60	$113.97	$261.00
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $102.96 / $102.96 / $102.96	Professional		$102.96	$102.96	$102.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.92 / $77.92 / $78.59	Facility		$77.92	$77.92	$78.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.70 / $135.26 / $165.61	Professional		$89.70	$135.26	$165.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $771.76 / $1,089.22 / $2,072.54	Facility		$771.76	$1,089.22	$2,072.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $118.34 / $161.97	Professional		$79.45	$118.34	$161.97
United Facility/Professional Professional Modifier Low / Median / High Price $62.07 / $74.15 / $199.83	Professional		$62.07	$74.15	$199.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.82 / $60.82 / $60.82	Professional		$60.82	$60.82	$60.82