Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.17 / $214.41 / $14,464.32	Facility		$97.17	$214.41	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.38 / $97.17 / $191.03	Professional		$57.38	$97.17	$191.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $238.63 / $371.44 / $9,102.00	Facility		$238.63	$371.44	$9,102.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $95.80 / $175.68 / $703.73	Professional		$95.80	$175.68	$703.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.09 / $144.49 / $260.72	Professional		$85.09	$144.49	$260.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $72.54 / $128.26 / $227.76	Facility		$72.54	$128.26	$227.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.84 / $128.26 / $209.43	Professional		$72.84	$128.26	$209.43
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 $94.55 / $154.77 / $172.86	Facility		$94.55	$154.77	$172.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.25 / $113.25 / $117.91	Facility		$113.25	$113.25	$117.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.31 / $137.82 / $216.13	Professional		$94.31	$137.82	$216.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $238.63 / $361.80 / $692.47	Facility		$238.63	$361.80	$692.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $84.54 / $130.31 / $199.69	Professional		$84.54	$130.31	$199.69
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 $101.64 / $161.71 / $245.23	Professional		$101.64	$161.71	$245.23