Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.57 / $187.57 / $1,868.49	Facility		$187.57	$187.57	$1,868.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.54 / $187.57 / $187.57	Professional		$176.54	$187.57	$187.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $127.24 / $203.53 / $442.59	Facility		$127.24	$203.53	$442.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $156.84 / $790.40 / $964.08	Professional		$156.84	$790.40	$964.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.40 / $195.03 / $309.35	Facility		$161.40	$195.03	$309.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.57 / $187.57 / $187.57	Professional		$187.57	$187.57	$187.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $193.87 / $482.57 / $1,018.85	Facility		$193.87	$482.57	$1,018.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $138.31 / $79,999.20 / $79,999.20	Facility		$138.31	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.82 / $186.48 / $304.56	Facility		$112.82	$186.48	$304.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $138.31 / $207.47 / $309.76	Facility		$138.31	$207.47	$309.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $138.31 / $180.38 / $193.87	Professional		$138.31	$180.38	$193.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $160.68 / $160.68 / $160.68	Professional		$160.68	$160.68	$160.68