Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.02 / $521.00 / $12,332.15	Facility		$124.02	$521.00	$12,332.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.21 / $150.69 / $330.36	Professional		$57.21	$150.69	$330.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $119.29 / $4,318.66 / $8,788.86	Facility		$119.29	$4,318.66	$8,788.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $120.59 / $300.29 / $1,356.00	Professional		$120.59	$300.29	$1,356.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.29 / $157.29 / $262.04	Facility		$157.29	$157.29	$262.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.88 / $211.53 / $481.74	Professional		$107.88	$211.53	$481.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $105.56 / $203.43 / $502.50	Facility		$105.56	$203.43	$502.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.56 / $186.07 / $402.16	Professional		$105.56	$186.07	$402.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.76 / $221.32 / $361.37	Professional		$34.76	$221.32	$361.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $119.26 / $302.83 / $319.58	Facility		$119.26	$302.83	$319.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.29 / $210.19 / $215.70	Facility		$119.29	$210.19	$215.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.78 / $215.70 / $401.45	Professional		$118.78	$215.70	$401.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,979.36 / $4,591.92 / $8,788.86	Facility		$2,979.36	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.70 / $204.27 / $365.33	Professional		$107.70	$204.27	$365.33
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $1,106.00 / $4,911.00	Facility		$591.00	$1,106.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.34 / $328.75 / $457.93	Professional		$200.34	$328.75	$457.93