Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.40 / $312.61 / $14,464.32	Facility		$130.40	$312.61	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.68 / $126.97 / $305.41	Professional		$70.68	$126.97	$305.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $332.56 / $700.39 / $9,102.00	Facility		$332.56	$700.39	$9,102.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $129.13 / $307.08 / $1,206.40	Professional		$129.13	$307.08	$1,206.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.30 / $151.30 / $252.07	Facility		$151.30	$151.30	$252.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.56 / $211.06 / $494.40	Professional		$114.56	$211.06	$494.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $98.58 / $180.23 / $393.83	Facility		$98.58	$180.23	$393.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.02 / $174.14 / $294.48	Professional		$106.02	$174.14	$294.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.76 / $222.41 / $364.68	Professional		$34.76	$222.41	$364.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $140.03 / $263.81 / $326.95	Facility		$140.03	$263.81	$326.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.07 / $222.88 / $223.02	Facility		$121.07	$222.88	$223.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.14 / $223.02 / $406.49	Professional		$127.14	$223.02	$406.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $511.06 / $699.99 / $1,339.76	Facility		$511.06	$699.99	$1,339.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $113.62 / $212.17 / $377.71	Professional		$113.62	$212.17	$377.71
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 $167.16 / $318.64 / $470.20	Professional		$167.16	$318.64	$470.20