Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.24 / $521.00 / $17,930.00	Facility		$88.24	$521.00	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.30 / $73.27 / $146.56	Professional		$44.30	$73.27	$146.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $363.24 / $627.73 / $11,500.00	Facility		$363.24	$627.73	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $119.19 / $659.20	Professional		$79.48	$119.19	$659.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.48 / $99.57 / $144.22	Professional		$63.48	$99.57	$144.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $60.68 / $107.28 / $191.97	Facility		$60.68	$107.28	$191.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.68 / $103.67 / $125.91	Professional		$60.68	$103.67	$125.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $55.70 / $90.87	Professional		$8.78	$55.70	$90.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $72.68 / $95.81 / $112.57	Facility		$72.68	$95.81	$112.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $65.34 / $78.81	Facility		$65.34	$65.34	$78.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $109.01 / $134.03	Professional		$69.09	$109.01	$134.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $391.95 / $604.44 / $1,156.22	Facility		$391.95	$604.44	$1,156.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $80.39 / $94.68 / $128.44	Professional		$80.39	$94.68	$128.44
United Facility/Professional Facility Modifier Low / Median / High Price $180.47 / $190.00 / $5,793.00	Facility		$180.47	$190.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.59 / $101.42 / $151.41	Professional		$67.59	$101.42	$151.41