Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.32 / $322.85 / $17,930.00	Facility		$200.32	$322.85	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.73 / $161.19 / $370.02	Professional		$113.73	$161.19	$370.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $190.71 / $533.28 / $1,085.27	Facility		$190.71	$533.28	$1,085.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $191.63 / $310.14 / $1,085.92	Professional		$191.63	$310.14	$1,085.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.51 / $277.72 / $443.78	Professional		$170.51	$277.72	$443.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $139.19 / $242.17 / $373.69	Facility		$139.19	$242.17	$373.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.28 / $244.89 / $356.99	Professional		$140.28	$244.89	$356.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.25 / $192.20 / $332.99	Professional		$30.25	$192.20	$332.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $181.83 / $265.32 / $293.45	Facility		$181.83	$265.32	$293.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.71 / $190.71 / $200.17	Facility		$190.71	$190.71	$200.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.25 / $265.56 / $372.90	Professional		$194.25	$265.56	$372.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $367.90 / $567.35 / $1,085.27	Facility		$367.90	$567.35	$1,085.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $178.78 / $248.00 / $346.43	Professional		$178.78	$248.00	$346.43
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 $167.58 / $246.19 / $409.44	Professional		$167.58	$246.19	$409.44