Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.76 / $157.55 / $212.98	Facility		$91.76	$157.55	$212.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $91.76 / $193.69	Professional		$66.81	$91.76	$193.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $94.22 / $1,229.50 / $2,353.23	Facility		$94.22	$1,229.50	$2,353.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $98.70 / $164.76 / $660.00	Professional		$98.70	$164.76	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.07 / $147.97 / $213.57	Professional		$96.07	$147.97	$213.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $91.67 / $170.29 / $1,348.32	Facility		$91.67	$170.29	$1,348.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.67 / $160.91 / $279.76	Professional		$91.67	$160.91	$279.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.51 / $70.17 / $100.25	Professional		$31.51	$70.17	$100.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $109.50 / $139.03 / $147.56	Facility		$109.50	$139.03	$147.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.22 / $94.22 / $96.88	Facility		$94.22	$94.22	$96.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.34 / $162.83 / $198.71	Professional		$103.34	$162.83	$198.71
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 $96.10 / $139.37 / $187.73	Professional		$96.10	$139.37	$187.73
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 $92.45 / $150.88 / $206.62	Professional		$92.45	$150.88	$206.62