Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.04 / $379.64 / $13,750.00	Facility		$126.04	$379.64	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.84 / $135.06 / $362.67	Professional		$63.84	$135.06	$362.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $114.31 / $4,062.29 / $8,267.12	Facility		$114.31	$4,062.29	$8,267.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $269.75 / $1,045.44	Professional		$124.23	$269.75	$1,045.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.10 / $142.10 / $236.74	Facility		$142.10	$142.10	$236.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.88 / $209.36 / $432.25	Professional		$111.88	$209.36	$432.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $102.71 / $181.86 / $464.06	Facility		$102.71	$181.86	$464.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.71 / $173.21 / $347.73	Professional		$102.71	$173.21	$347.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.76 / $222.41 / $364.68	Professional		$34.76	$222.41	$364.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $131.32 / $264.62 / $289.68	Facility		$131.32	$264.62	$289.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.31 / $193.43 / $193.77	Facility		$114.31	$193.43	$193.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.96 / $193.77 / $359.28	Professional		$122.96	$193.77	$359.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,802.50 / $4,319.34 / $8,267.12	Facility		$2,802.50	$4,319.34	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.26 / $197.27 / $328.18	Professional		$120.26	$197.27	$328.18
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.90 / $277.75 / $412.27	Professional		$174.90	$277.75	$412.27