Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.23 / $515.28 / $13,750.00	Facility		$166.23	$515.28	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.92 / $184.34 / $417.60	Professional		$105.92	$184.34	$417.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $138.52 / $1,461.50 / $2,982.61	Facility		$138.52	$1,461.50	$2,982.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $163.09 / $337.67 / $1,258.88	Professional		$163.09	$337.67	$1,258.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.97 / $177.97 / $296.50	Facility		$177.97	$177.97	$296.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.91 / $274.93 / $520.80	Professional		$146.91	$274.93	$520.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $164.87 / $268.27 / $503.58	Facility		$164.87	$268.27	$503.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.87 / $268.27 / $445.19	Professional		$164.87	$268.27	$445.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.01 / $246.96 / $423.24	Professional		$39.01	$246.96	$423.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $182.97 / $309.80 / $361.13	Facility		$182.97	$309.80	$361.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.52 / $228.77 / $233.07	Facility		$138.52	$228.77	$233.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.57 / $244.01 / $427.23	Professional		$160.57	$244.01	$427.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,011.08 / $1,549.85 / $2,982.61	Facility		$1,011.08	$1,549.85	$2,982.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $157.04 / $270.18 / $394.74	Professional		$157.04	$270.18	$394.74
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 $181.60 / $281.49 / $492.39	Professional		$181.60	$281.49	$492.39