Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.11 / $173.30 / $234.63	Facility		$101.11	$173.30	$234.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $101.11 / $210.64	Professional		$73.84	$101.11	$210.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $104.19 / $1,229.50 / $2,353.23	Facility		$104.19	$1,229.50	$2,353.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $109.51 / $186.43 / $661.13	Professional		$109.51	$186.43	$661.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.26 / $162.77 / $235.86	Professional		$106.26	$162.77	$235.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $101.43 / $187.88 / $1,348.32	Facility		$101.43	$187.88	$1,348.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.43 / $177.10 / $279.76	Professional		$101.43	$177.10	$279.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $75.81 / $110.50	Professional		$34.54	$75.81	$110.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $122.01 / $153.04 / $162.52	Facility		$122.01	$153.04	$162.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.19 / $104.19 / $106.94	Facility		$104.19	$104.19	$106.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.42 / $178.81 / $219.33	Professional		$110.42	$178.81	$219.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $939.68 / $1,253.65 / $2,353.23	Facility		$939.68	$1,253.65	$2,353.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $106.26 / $153.83 / $207.21	Professional		$106.26	$153.83	$207.21
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.77 / $169.73 / $238.39	Professional		$100.77	$169.73	$238.39