Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.45 / $140.88 / $236.07	Facility		$91.45	$140.88	$236.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $82.63 / $171.71	Professional		$45.79	$82.63	$171.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $318.92 / $571.82 / $9,102.00	Facility		$318.92	$571.82	$9,102.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $86.04 / $171.77 / $666.32	Professional		$86.04	$171.77	$666.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.14 / $90.14 / $150.16	Facility		$90.14	$90.14	$150.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.22 / $145.54 / $275.27	Professional		$81.22	$145.54	$275.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $72.54 / $122.38 / $231.34	Facility		$72.54	$122.38	$231.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.54 / $119.15 / $206.03	Professional		$72.54	$119.15	$206.03
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 $93.22 / $156.78 / $180.90	Facility		$93.22	$156.78	$180.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.29 / $123.39 / $123.67	Facility		$72.29	$123.39	$123.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.94 / $133.87 / $227.55	Professional		$88.94	$133.87	$227.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $364.00 / $561.02 / $1,073.78	Facility		$364.00	$561.02	$1,073.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $84.41 / $126.13 / $208.98	Professional		$84.41	$126.13	$208.98
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 $107.09 / $171.71 / $263.58	Professional		$107.09	$171.71	$263.58