Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.53 / $222.70 / $13,750.00	Facility		$116.53	$222.70	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.26 / $95.32 / $200.40	Professional		$68.26	$95.32	$200.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $293.56 / $700.39 / $9,102.00	Facility		$293.56	$700.39	$9,102.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $105.88 / $176.42 / $1,950.30	Professional		$105.88	$176.42	$1,950.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.78 / $59.78 / $99.60	Facility		$59.78	$59.78	$99.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.26 / $162.63 / $267.52	Professional		$99.26	$162.63	$267.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $74.70 / $146.30 / $271.77	Facility		$74.70	$146.30	$271.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $141.19 / $212.53	Professional		$75.20	$141.19	$212.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $110.96 / $180.72	Professional		$17.11	$110.96	$180.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $112.52 / $159.46 / $178.22	Facility		$112.52	$159.46	$178.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.86 / $118.23 / $121.56	Facility		$44.86	$118.23	$121.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.04 / $157.53 / $222.83	Professional		$108.04	$157.53	$222.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $516.30 / $699.99 / $1,339.76	Facility		$516.30	$699.99	$1,339.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $101.78 / $142.79 / $205.88	Professional		$101.78	$142.79	$205.88
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 $106.92 / $173.39 / $255.85	Professional		$106.92	$173.39	$255.85