Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.72 / $1,669.21 / $12,214.00	Facility		$65.72	$1,669.21	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $764.94 / $2,392.53	Professional		$63.82	$764.94	$2,392.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,171.75 / $1,487.27	Facility		$55.00	$1,171.75	$1,487.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $90.34 / $1,568.91 / $6,302.40	Professional		$90.34	$1,568.91	$6,302.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $965.24 / $2,635.65	Professional		$80.00	$965.24	$2,635.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $90.16 / $846.30 / $2,407.58	Facility		$90.16	$846.30	$2,407.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.30 / $846.30 / $2,436.34	Professional		$92.30	$846.30	$2,436.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $210.55 / $1,334.33 / $2,200.04	Professional		$210.55	$1,334.33	$2,200.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $117.25 / $1,615.82 / $1,888.06	Facility		$117.25	$1,615.82	$1,888.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,171.75 / $1,171.75 / $1,222.19	Facility		$1,171.75	$1,171.75	$1,222.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.63 / $165.67 / $2,296.62	Professional		$85.63	$165.67	$2,296.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $160.41 / $1,990.95	Professional		$79.70	$160.41	$1,990.95
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 $1,239.92 / $1,886.64 / $2,649.87	Professional		$1,239.92	$1,886.64	$2,649.87