Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.18 / $241.25 / $18,079.00	Facility		$159.18	$241.25	$18,079.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $126.59 / $266.38	Professional		$89.18	$126.59	$266.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $77.28 / $658.33 / $1,339.76	Facility		$77.28	$658.33	$1,339.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $150.57 / $248.29 / $873.44	Professional		$150.57	$248.29	$873.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.31 / $105.31 / $175.44	Facility		$105.31	$105.31	$175.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.08 / $219.62 / $356.79	Professional		$130.08	$219.62	$356.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $106.02 / $191.47 / $297.89	Facility		$106.02	$191.47	$297.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.20 / $188.10 / $276.12	Professional		$109.20	$188.10	$276.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $167.04 / $273.41	Professional		$25.91	$167.04	$273.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $145.81 / $205.02 / $236.51	Facility		$145.81	$205.02	$236.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.28 / $154.02 / $161.32	Facility		$77.28	$154.02	$161.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.57 / $210.71 / $295.70	Professional		$150.57	$210.71	$295.70
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 $138.38 / $196.23 / $273.22	Professional		$138.38	$196.23	$273.22
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 $139.47 / $243.97 / $334.06	Professional		$139.47	$243.97	$334.06