Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.26 / $368.91 / $13,750.00	Facility		$146.26	$368.91	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.44 / $169.02 / $274.60	Professional		$101.44	$169.02	$274.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $466.80 / $1,935.85 / $11,500.00	Facility		$466.80	$1,935.85	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $129.10 / $224.78 / $1,832.00	Professional		$129.10	$224.78	$1,832.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $449.17 / $449.17 / $748.32	Facility		$449.17	$449.17	$748.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.10 / $224.17 / $414.46	Professional		$129.10	$224.17	$414.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $115.50 / $218.94 / $587.55	Facility		$115.50	$218.94	$587.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.62 / $212.66 / $433.12	Professional		$117.62	$212.66	$433.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $222.41 / $364.68	Professional		$34.79	$222.41	$364.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $154.77 / $245.89 / $276.08	Facility		$154.77	$245.89	$276.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.92 / $186.91 / $306.32	Facility		$183.92	$186.91	$306.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.35 / $209.81 / $342.62	Professional		$137.35	$209.81	$342.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,279.54 / $1,934.75 / $3,703.07	Facility		$1,279.54	$1,934.75	$3,703.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $127.09 / $200.68 / $317.58	Professional		$127.09	$200.68	$317.58
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $610.11 / $4,611.00	Facility		$591.00	$610.11	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.88 / $261.81 / $392.96	Professional		$165.88	$261.81	$392.96