Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.39 / $401.02 / $4,414.79	Facility		$52.39	$401.02	$4,414.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.75 / $72.98 / $178.65	Professional		$24.75	$72.98	$178.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $247.68 / $567.02 / $1,085.27	Facility		$247.68	$567.02	$1,085.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $36.57 / $116.47 / $651.16	Professional		$36.57	$116.47	$651.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $74.67 / $213.36	Professional		$21.22	$74.67	$213.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $32.64 / $101.43 / $237.62	Facility		$32.64	$101.43	$237.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.42 / $89.18 / $237.62	Professional		$35.42	$89.18	$237.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.95 / $150.45 / $267.18	Professional		$26.95	$150.45	$267.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $77.06 / $164.39 / $203.01	Facility		$77.06	$164.39	$203.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.11 / $102.11 / $137.26	Facility		$102.11	$102.11	$137.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.21 / $102.11 / $238.58	Professional		$50.21	$102.11	$238.58
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 $36.22 / $88.86 / $162.32	Professional		$36.22	$88.86	$162.32
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $98.89 / $269.75	Professional		$75.91	$98.89	$269.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.43 / $36.43 / $112.99	Professional		$36.43	$36.43	$112.99