Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.97 / $282.95 / $11,236.71	Facility		$116.97	$282.95	$11,236.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $108.46 / $164.88	Professional		$106.33	$108.46	$164.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $124.78 / $249.08 / $1,433.35	Facility		$124.78	$249.08	$1,433.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $116.96 / $1,358.07	Professional		$106.33	$116.96	$1,358.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.32 / $106.33 / $327.20	Facility		$100.32	$106.33	$327.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $106.33 / $150.47	Professional		$106.33	$106.33	$150.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $106.33 / $385.06 / $886.30	Facility		$106.33	$385.06	$886.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $422.10 / $827.21	Professional		$106.33	$422.10	$827.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $149.64 / $179.96	Professional		$80.00	$149.64	$179.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $106.33 / $136.04 / $318.99	Facility		$106.33	$136.04	$318.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.89 / $204.60 / $346.52	Facility		$109.89	$204.60	$346.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.06 / $166.24 / $262.14	Professional		$147.06	$166.24	$262.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $124.78 / $199.26 / $481.55	Facility		$124.78	$199.26	$481.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $116.96 / $127.60	Professional		$106.33	$116.96	$127.60
United Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $106.33 / $127.60	Professional		$106.33	$106.33	$127.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $135.55 / $135.55 / $135.55	Professional		$135.55	$135.55	$135.55