Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.27 / $404.10 / $18,711.00	Facility		$172.27	$404.10	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $200.38 / $308.36	Professional		$91.00	$200.38	$308.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $285.44 / $423.66 / $507.76	Facility		$285.44	$423.66	$507.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $161.44 / $377.00 / $1,374.61	Professional		$161.44	$377.00	$1,374.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.43 / $265.63 / $625.24	Professional		$117.43	$265.63	$625.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $138.83 / $249.97 / $519.02	Facility		$138.83	$249.97	$519.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $247.42 / $535.39	Professional		$134.41	$247.42	$535.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $379.41 / $637.25	Professional		$63.51	$379.41	$637.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $203.83 / $392.62 / $459.62	Facility		$203.83	$392.62	$459.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $289.47 / $415.44 / $634.70	Facility		$289.47	$415.44	$634.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.54 / $313.50 / $574.66	Professional		$169.54	$313.50	$574.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $285.44 / $342.53 / $534.57	Facility		$285.44	$342.53	$534.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $157.78 / $295.22 / $521.02	Professional		$157.78	$295.22	$521.02
United Facility/Professional Professional Modifier Low / Median / High Price $230.52 / $393.11 / $646.87	Professional		$230.52	$393.11	$646.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $105.25 / $105.25 / $261.92	Professional		$105.25	$105.25	$261.92