Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.60 / $98.23 / $8,267.20	Facility		$56.60	$98.23	$8,267.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $56.60 / $120.96	Professional		$41.64	$56.60	$120.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $59.34 / $1,202.90 / $2,353.23	Facility		$59.34	$1,202.90	$2,353.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $60.78 / $102.94 / $633.00	Professional		$60.78	$102.94	$633.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.24 / $92.05 / $134.09	Professional		$60.24	$92.05	$134.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $57.29 / $106.33 / $852.68	Facility		$57.29	$106.33	$852.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.29 / $100.10 / $279.76	Professional		$57.29	$100.10	$279.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $49.15 / $62.95	Professional		$25.23	$49.15	$62.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $67.84 / $86.20 / $92.46	Facility		$67.84	$86.20	$92.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.34 / $59.34 / $60.78	Facility		$59.34	$59.34	$60.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $101.25 / $124.66	Professional		$62.56	$101.25	$124.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $797.73 / $1,230.20 / $2,353.23	Facility		$797.73	$1,230.20	$2,353.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.52 / $87.44 / $117.77	Professional		$60.52	$87.44	$117.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,168.93 / $1,610.13 / $2,954.72	Facility		$1,168.93	$1,610.13	$2,954.72
United Facility/Professional Professional Modifier Low / Median / High Price $57.64 / $90.29 / $129.69	Professional		$57.64	$90.29	$129.69