Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.16 / $701.31 / $2,448.50	Facility		$123.16	$701.31	$2,448.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $86.18 / $168.27	Professional		$57.03	$86.18	$168.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $169.88 / $299.14 / $575.27	Facility		$169.88	$299.14	$575.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $150.84 / $294.10 / $1,109.09	Professional		$150.84	$294.10	$1,109.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.50 / $266.52 / $391.84	Facility		$87.50	$266.52	$391.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.49 / $247.83 / $418.60	Professional		$83.49	$247.83	$418.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $145.68 / $334.42	Facility		$64.17	$145.68	$334.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.36 / $146.10 / $342.61	Professional		$79.36	$146.10	$342.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $65.00	Professional		$45.00	$50.00	$65.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $167.17 / $233.30 / $257.27	Facility		$167.17	$233.30	$257.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.88 / $169.88 / $175.49	Facility		$169.88	$169.88	$175.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.19 / $290.66 / $348.33	Professional		$194.19	$290.66	$348.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $173.25 / $173.25 / $173.25	Facility		$173.25	$173.25	$173.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $173.25 / $252.92 / $344.91	Professional		$173.25	$252.92	$344.91
United Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $123.15 / $330.89	Professional		$79.80	$123.15	$330.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $96.76 / $96.76 / $96.76	Professional		$96.76	$96.76	$96.76