Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.68 / $1,971.60 / $6,629.40	Facility		$77.68	$1,971.60	$6,629.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.89 / $96.43 / $254.44	Professional		$38.89	$96.43	$254.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $1,874.13 / $3,814.01	Facility		$76.20	$1,874.13	$3,814.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $191.50 / $743.68	Professional		$75.75	$191.50	$743.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.68 / $89.68 / $149.41	Facility		$89.68	$89.68	$149.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.36 / $135.19 / $305.88	Professional		$67.36	$135.19	$305.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $68.12 / $131.02 / $329.06	Facility		$68.12	$131.02	$329.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $114.90 / $264.95	Professional		$67.20	$114.90	$264.95
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 $84.42 / $190.27 / $214.40	Facility		$84.42	$190.27	$214.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $137.56 / $139.52	Facility		$76.20	$137.56	$139.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $137.56 / $264.75	Professional		$71.84	$137.56	$264.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,292.92 / $1,992.71 / $3,814.01	Facility		$1,292.92	$1,992.71	$3,814.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $128.31 / $232.97	Professional		$67.84	$128.31	$232.97
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $1,106.00 / $4,911.00	Facility		$591.00	$1,106.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.72 / $221.01 / $307.35	Professional		$133.72	$221.01	$307.35