Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.12 / $187.83 / $14,464.32	Facility		$76.12	$187.83	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.81 / $81.81 / $142.07	Professional		$44.81	$81.81	$142.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $193.72 / $459.72 / $9,102.00	Facility		$193.72	$459.72	$9,102.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $138.84 / $1,375.00	Professional		$69.38	$138.84	$1,375.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.06 / $68.06 / $113.39	Facility		$68.06	$68.06	$113.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.94 / $123.33 / $232.33	Professional		$66.94	$123.33	$232.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $64.19 / $102.94 / $195.51	Facility		$64.19	$102.94	$195.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.19 / $102.94 / $181.39	Professional		$64.19	$102.94	$181.39
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 $81.20 / $135.19 / $153.43	Facility		$81.20	$135.19	$153.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.93 / $101.02 / $104.65	Facility		$50.93	$101.02	$104.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.02 / $112.02 / $191.83	Professional		$74.02	$112.02	$191.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $287.05 / $442.67 / $846.77	Facility		$287.05	$442.67	$846.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $104.67 / $177.25	Professional		$66.23	$104.67	$177.25
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $910.00 / $5,793.00	Facility		$190.00	$910.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.88 / $141.40 / $218.22	Professional		$88.88	$141.40	$218.22