Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $320.51 / $13,750.00	Facility		$157.00	$320.51	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.08 / $146.38 / $318.77	Professional		$94.08	$146.38	$318.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $402.96 / $2,010.44 / $9,102.00	Facility		$402.96	$2,010.44	$9,102.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $148.97 / $320.85 / $1,950.30	Professional		$148.97	$320.85	$1,950.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.71 / $146.71 / $244.42	Facility		$146.71	$146.71	$244.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.86 / $236.07 / $515.48	Professional		$138.86	$236.07	$515.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $111.91 / $204.95 / $543.75	Facility		$111.91	$204.95	$543.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.33 / $199.07 / $306.22	Professional		$114.33	$199.07	$306.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.85 / $278.79 / $453.80	Professional		$42.85	$278.79	$453.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $161.34 / $275.31 / $341.70	Facility		$161.34	$275.31	$341.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.93 / $233.07 / $233.75	Facility		$118.93	$233.07	$233.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $234.03 / $427.23	Professional		$154.00	$234.03	$427.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,478.69 / $1,972.76 / $3,745.11	Facility		$1,478.69	$1,972.76	$3,745.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $137.32 / $238.39 / $394.74	Professional		$137.32	$238.39	$394.74
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $1,106.00 / $4,911.00	Facility		$591.00	$1,106.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.24 / $282.74 / $491.45	Professional		$177.24	$282.74	$491.45