Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.30 / $5,318.00 / $13,809.00	Facility		$177.30	$5,318.00	$13,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.76 / $152.12 / $328.70	Professional		$98.76	$152.12	$328.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $87.65 / $4,493.00 / $9,200.71	Facility		$87.65	$4,493.00	$9,200.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $158.69 / $226.88 / $835.43	Professional		$158.69	$226.88	$835.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,126.23 / $1,126.23 / $1,876.28	Facility		$1,126.23	$1,126.23	$1,876.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.43 / $209.18 / $296.18	Professional		$147.43	$209.18	$296.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $148.94 / $250.25 / $1,186.16	Facility		$148.94	$250.25	$1,186.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.94 / $241.98 / $1,264.15	Professional		$148.94	$241.98	$1,264.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $162.60 / $247.45	Professional		$25.19	$162.60	$247.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $128.04 / $189.33 / $225.76	Facility		$128.04	$189.33	$225.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.65 / $132.99 / $150.40	Facility		$87.65	$132.99	$150.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.57 / $221.83 / $272.75	Professional		$139.57	$221.83	$272.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $438.47 / $4,521.04 / $9,200.71	Facility		$438.47	$4,521.04	$9,200.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $169.88 / $191.30 / $257.68	Professional		$169.88	$191.30	$257.68
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 $145.08 / $201.66 / $296.30	Professional		$145.08	$201.66	$296.30