Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.73 / $313.45 / $9,703.00	Facility		$61.73	$313.45	$9,703.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $89.37 / $182.27	Professional		$38.79	$89.37	$182.27
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $19.39 / $36.52 / $86.16	Professional	52	$19.39	$36.52	$86.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $56.98 / $658.33 / $1,339.76	Facility		$56.98	$658.33	$1,339.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $54.46 / $146.33 / $663.12	Professional		$54.46	$146.33	$663.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.58 / $73.58 / $122.58	Facility		$73.58	$73.58	$122.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.74 / $94.56 / $233.96	Professional		$48.74	$94.56	$233.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $50.60 / $108.47 / $245.62	Facility		$50.60	$108.47	$245.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.60 / $102.88 / $197.54	Professional		$50.60	$102.88	$197.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.73 / $167.04 / $273.41	Professional		$25.73	$167.04	$273.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $73.15 / $143.38 / $161.13	Facility		$73.15	$143.38	$161.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.98 / $103.74 / $105.11	Facility		$56.98	$103.74	$105.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.12 / $98.96 / $197.27	Professional		$53.12	$98.96	$197.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $511.06 / $699.99 / $1,339.76	Facility		$511.06	$699.99	$1,339.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.93 / $96.00 / $178.02	Professional		$47.93	$96.00	$178.02
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 $97.23 / $164.68 / $220.13	Professional		$97.23	$164.68	$220.13