Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.24 / $260.61 / $12,214.00	Facility		$94.24	$260.61	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.98 / $115.95 / $218.18	Professional		$65.98	$115.95	$218.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $66.59 / $658.33 / $1,339.76	Facility		$66.59	$658.33	$1,339.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $93.37 / $186.41 / $725.28	Professional		$93.37	$186.41	$725.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.84 / $87.84 / $146.33	Facility		$87.84	$87.84	$146.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.12 / $153.69 / $296.36	Professional		$83.12	$153.69	$296.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $143.33 / $280.35	Facility		$80.09	$143.33	$280.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $133.91 / $248.64	Professional		$80.09	$133.91	$248.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $167.04 / $273.41	Professional		$25.76	$167.04	$273.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $100.50 / $173.53 / $196.31	Facility		$100.50	$173.53	$196.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.59 / $130.46 / $133.90	Facility		$66.59	$130.46	$133.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.92 / $139.69 / $245.45	Professional		$91.92	$139.69	$245.45
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 $81.84 / $133.06 / $226.78	Professional		$81.84	$133.06	$226.78
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 $121.95 / $209.46 / $279.99	Professional		$121.95	$209.46	$279.99