Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.79 / $138.72 / $18,711.00	Facility		$73.79	$138.72	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.56 / $80.95 / $166.21	Professional		$43.56	$80.95	$166.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $187.44 / $371.44 / $9,102.00	Facility		$187.44	$371.44	$9,102.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $69.67 / $143.15 / $647.85	Professional		$69.67	$143.15	$647.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.68 / $119.17 / $228.16	Professional		$64.68	$119.17	$228.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $103.89 / $195.48	Facility		$62.00	$103.89	$195.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $101.25 / $180.39	Professional		$62.00	$101.25	$180.39
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 $78.39 / $133.21 / $150.75	Facility		$78.39	$133.21	$150.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.21 / $99.21 / $102.83	Facility		$99.21	$99.21	$102.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.63 / $108.85 / $188.48	Professional		$71.63	$108.85	$188.48
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 $64.62 / $101.21 / $174.15	Professional		$64.62	$101.21	$174.15
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 $87.56 / $145.26 / $214.34	Professional		$87.56	$145.26	$214.34