Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.51 / $79.75 / $12,214.00	Facility		$31.51	$79.75	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $35.15 / $79.75	Professional		$11.59	$35.15	$79.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $45.50 / $83.48 / $311.31	Facility		$45.50	$83.48	$311.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $72.70 / $376.33	Professional		$25.70	$72.70	$376.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $32.74 / $94.13	Professional		$9.98	$32.74	$94.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $15.84 / $39.47 / $114.45	Facility		$15.84	$39.47	$114.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.29 / $43.05 / $115.76	Professional		$16.29	$43.05	$115.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $100.62 / $177.28	Professional		$17.75	$100.62	$177.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $73.64 / $90.45	Facility		$33.36	$73.64	$90.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.50 / $45.50 / $61.16	Facility		$45.50	$45.50	$61.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $61.15 / $106.16	Professional		$34.34	$61.15	$106.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $247.10 / $247.10 / $311.31	Facility		$247.10	$247.10	$311.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $44.25 / $77.63	Professional		$25.19	$44.25	$77.63
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 $40.45 / $47.28 / $124.76	Professional		$40.45	$47.28	$124.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $24.96 / $49.42	Professional		$24.96	$24.96	$49.42