Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.43 / $293.61 / $1,571.93	Facility		$132.43	$293.61	$1,571.93
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $66.22 / $144.76 / $370.88	Facility	52	$66.22	$144.76	$370.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.55 / $175.86 / $350.52	Professional		$80.55	$175.86	$350.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $443.30 / $815.92 / $1,296.95	Facility		$443.30	$815.92	$1,296.95
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $121.49 / $310.81 / $310.81	Facility	52	$121.49	$310.81	$310.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $306.02 / $1,806.86	Professional		$124.23	$306.02	$1,806.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.61 / $216.92 / $465.44	Professional		$99.61	$216.92	$465.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $96.18 / $210.77 / $496.50	Facility		$96.18	$210.77	$496.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.89 / $196.72 / $450.11	Professional		$93.89	$196.72	$450.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.94 / $268.57 / $456.62	Professional		$45.94	$268.57	$456.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $202.69 / $312.44 / $355.64	Facility		$202.69	$312.44	$355.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $221.65 / $221.65 / $227.41	Facility		$221.65	$221.65	$227.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.88 / $221.65 / $439.94	Professional		$129.88	$221.65	$439.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $670.87 / $959.75 / $1,835.89	Facility		$670.87	$959.75	$1,835.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $114.24 / $220.32 / $376.60	Professional		$114.24	$220.32	$376.60
United Facility/Professional Professional Modifier Low / Median / High Price $183.34 / $304.81 / $487.69	Professional		$183.34	$304.81	$487.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.83 / $131.41 / $177.30	Professional		$79.83	$131.41	$177.30