Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.04 / $642.39 / $10,670.32	Facility		$45.04	$642.39	$10,670.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $45.05 / $79.03	Professional		$35.56	$45.05	$79.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $21.34 / $34.14 / $685.00	Facility		$21.34	$34.14	$685.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $43.28 / $666.60	Professional		$40.70	$43.28	$666.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.54 / $88.54 / $162.78	Facility		$88.54	$88.54	$162.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $88.54 / $88.54	Professional		$88.54	$88.54	$88.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $36.60 / $79.04 / $153.15	Facility		$36.60	$79.04	$153.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.89 / $85.67 / $150.63	Professional		$43.89	$85.67	$150.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.77 / $50.00 / $75.00	Professional		$44.77	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $40.70 / $170.85	Facility		$40.70	$40.70	$170.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.21 / $37.35 / $59.75	Facility		$19.21	$37.35	$59.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $40.70 / $40.70	Professional		$40.70	$40.70	$40.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.34 / $29.66 / $49.75	Facility		$21.34	$29.66	$49.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.67 / $40.70 / $40.70	Professional		$38.67	$40.70	$40.70
United Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $42.84 / $44.25	Professional		$42.84	$42.84	$44.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.80 / $41.80 / $41.80	Professional		$41.80	$41.80	$41.80