Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.10 / $169.18 / $18,711.00	Facility		$97.10	$169.18	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.28 / $97.63 / $213.41	Professional		$57.28	$97.63	$213.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $114.61 / $234.66	Facility		$55.00	$114.61	$234.66
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $90.66 / $166.63 / $1,029.88	Professional		$90.66	$166.63	$1,029.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $144.08 / $260.38	Professional		$84.85	$144.08	$260.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $77.81 / $130.27 / $233.76	Facility		$77.81	$130.27	$233.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.16 / $130.27 / $227.05	Professional		$80.16	$130.27	$227.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.22 / $106.25 / $174.13	Professional		$17.22	$106.25	$174.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $94.87 / $160.36 / $183.30	Facility		$94.87	$160.36	$183.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.61 / $114.61 / $117.91	Facility		$114.61	$114.61	$117.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.23 / $134.88 / $211.91	Professional		$90.23	$134.88	$211.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $88.51 / $121.91 / $199.69	Professional		$88.51	$121.91	$199.69
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 $103.84 / $165.20 / $242.24	Professional		$103.84	$165.20	$242.24