Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.84 / $2,769.52 / $18,711.00	Facility		$84.84	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $58.15 / $139.21	Professional		$43.78	$58.15	$139.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $136.40 / $362.00 / $706.71	Facility		$136.40	$362.00	$706.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $64.44 / $109.49 / $515.00	Professional		$64.44	$109.49	$515.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.24 / $95.46 / $138.96	Professional		$61.24	$95.46	$138.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $56.86 / $102.55 / $207.45	Facility		$56.86	$102.55	$207.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.86 / $99.16 / $124.64	Professional		$56.86	$99.16	$124.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $53.05 / $86.03	Professional		$8.77	$53.05	$86.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.58 / $88.61 / $104.52	Facility		$75.58	$88.61	$104.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.97 / $62.97 / $64.44	Facility		$62.97	$62.97	$64.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $107.29 / $128.41	Professional		$68.09	$107.29	$128.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $220.24 / $353.97 / $692.47	Facility		$220.24	$353.97	$692.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $64.22 / $92.69 / $124.86	Professional		$64.22	$92.69	$124.86
United Facility/Professional Facility Modifier Low / Median / High Price $497.00 / $1,078.00 / $6,216.00	Facility		$497.00	$1,078.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.61 / $81.20 / $136.13	Professional		$59.61	$81.20	$136.13