Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.32 / $420.00 / $14,464.32	Facility		$111.32	$420.00	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.65 / $168.96 / $262.13	Professional		$64.65	$168.96	$262.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $257.30 / $567.02 / $1,085.27	Facility		$257.30	$567.02	$1,085.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $89.28 / $280.16 / $1,007.04	Professional		$89.28	$280.16	$1,007.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.72 / $189.43 / $410.26	Professional		$83.72	$189.43	$410.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $93.60 / $192.18 / $399.11	Facility		$93.60	$192.18	$399.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $182.77 / $403.50	Professional		$94.00	$182.77	$403.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $200.65 / $356.49	Professional		$36.19	$200.65	$356.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $185.22 / $279.30 / $317.56	Facility		$185.22	$279.30	$317.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $211.55 / $211.55 / $213.42	Facility		$211.55	$211.55	$213.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.90 / $209.04 / $391.21	Professional		$89.90	$209.04	$391.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $367.90 / $567.35 / $1,085.27	Facility		$367.90	$567.35	$1,085.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $85.93 / $183.39 / $354.69	Professional		$85.93	$183.39	$354.69
United Facility/Professional Professional Modifier Low / Median / High Price $197.55 / $239.72 / $450.88	Professional		$197.55	$239.72	$450.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.76 / $54.76 / $161.69	Professional		$54.76	$54.76	$161.69