Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.27 / $266.95 / $18,711.00	Facility		$165.27	$266.95	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.62 / $157.15 / $313.29	Professional		$92.62	$157.15	$313.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $168.97 / $1,673.37 / $3,405.45	Facility		$168.97	$1,673.37	$3,405.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $161.88 / $261.23 / $951.28	Professional		$161.88	$261.23	$951.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $472.46 / $472.46 / $787.12	Facility		$472.46	$472.46	$787.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.13 / $232.89 / $382.30	Professional		$144.13	$232.89	$382.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $137.56 / $231.57 / $552.04	Facility		$137.56	$231.57	$552.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.56 / $226.20 / $390.93	Professional		$137.56	$226.20	$390.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $221.93 / $361.44	Professional		$34.22	$221.93	$361.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $169.71 / $241.87 / $280.16	Facility		$169.71	$241.87	$280.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.97 / $173.20 / $287.80	Facility		$168.97	$173.20	$287.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.44 / $223.81 / $317.49	Professional		$153.44	$223.81	$317.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,200.26 / $1,780.27 / $3,405.45	Facility		$1,200.26	$1,780.27	$3,405.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $153.53 / $211.55 / $293.35	Professional		$153.53	$211.55	$293.35
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 $162.44 / $246.66 / $363.98	Professional		$162.44	$246.66	$363.98