Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.10 / $242.19 / $33,877.62	Facility		$187.10	$242.19	$33,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.47 / $187.15 / $242.19	Professional		$183.47	$187.15	$242.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $172.42 / $265.17 / $901.10	Facility		$172.42	$265.17	$901.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $201.83 / $7,591.34	Professional		$183.48	$201.83	$7,591.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.09 / $180.05 / $436.62	Facility		$173.09	$180.05	$436.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $225.02	Professional		$183.48	$183.48	$225.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $163.10 / $204.21 / $456.91	Facility		$163.10	$204.21	$456.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.32 / $204.21 / $397.20	Professional		$158.32	$204.21	$397.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $198.24 / $243.29	Professional		$75.00	$198.24	$243.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $183.41 / $207.71 / $464.79	Facility		$183.41	$207.71	$464.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.18 / $265.23 / $482.77	Facility		$155.18	$265.23	$482.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.24 / $229.31 / $414.46	Professional		$190.24	$229.31	$414.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $176.78 / $209.91 / $370.09	Facility		$176.78	$209.91	$370.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $201.83 / $220.17	Professional		$183.48	$201.83	$220.17
United Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $220.18	Professional		$183.48	$183.48	$220.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $180.05 / $183.48 / $183.48	Professional		$180.05	$183.48	$183.48