Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.61 / $322.58 / $13,750.00	Facility		$100.61	$322.58	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.64 / $130.84 / $248.02	Professional		$61.64	$130.84	$248.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $66.59 / $1,062.14 / $2,161.55	Facility		$66.59	$1,062.14	$2,161.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $99.74 / $208.24 / $751.52	Professional		$99.74	$208.24	$751.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.62 / $84.62 / $140.97	Facility		$84.62	$84.62	$140.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $161.86 / $307.64	Professional		$90.75	$161.86	$307.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $93.83 / $163.84 / $353.00	Facility		$93.83	$163.84	$353.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.98 / $162.99 / $304.81	Professional		$94.98	$162.99	$304.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $167.04 / $273.41	Professional		$25.76	$167.04	$273.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $87.77 / $132.33 / $232.49	Facility		$87.77	$132.33	$232.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.59 / $136.81 / $138.93	Facility		$66.59	$136.81	$138.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.29 / $147.86 / $254.66	Professional		$97.29	$147.86	$254.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $732.75 / $1,129.34 / $2,161.55	Facility		$732.75	$1,129.34	$2,161.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $87.78 / $140.02 / $235.30	Professional		$87.78	$140.02	$235.30
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.20 / $220.31 / $294.49	Professional		$123.20	$220.31	$294.49