Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.05 / $2,769.52 / $18,711.00	Facility		$142.05	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.01 / $103.20 / $202.60	Professional		$80.01	$103.20	$202.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $105.10 / $1,300.00	Facility		$55.00	$105.10	$1,300.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $118.15 / $190.90 / $649.35	Professional		$118.15	$190.90	$649.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $159.84 / $233.78	Professional		$101.00	$159.84	$233.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $96.18 / $164.57 / $218.54	Facility		$96.18	$164.57	$218.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.33 / $164.57 / $218.54	Professional		$96.33	$164.57	$218.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.08 / $111.18 / $180.77	Professional		$17.08	$111.18	$180.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $122.81 / $152.08 / $171.60	Facility		$122.81	$152.08	$171.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.10 / $105.10 / $106.02	Facility		$105.10	$105.10	$106.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.24 / $176.85 / $217.45	Professional		$112.24	$176.85	$217.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.18 / $152.51 / $205.44	Professional		$107.18	$152.51	$205.44
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $2,446.00 / $36,803.00	Facility		$703.00	$2,446.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.17 / $156.44 / $224.32	Professional		$101.17	$156.44	$224.32