Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.16 / $205.83 / $17,930.00	Facility		$120.16	$205.83	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.76 / $103.35 / $201.08	Professional		$75.76	$103.35	$201.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $658.33 / $1,339.76	Facility		$55.00	$658.33	$1,339.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $119.20 / $198.50 / $675.12	Professional		$119.20	$198.50	$675.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.30 / $65.30 / $108.79	Facility		$65.30	$65.30	$108.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.94 / $173.62 / $273.80	Professional		$112.94	$173.62	$273.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $88.04 / $164.72 / $271.77	Facility		$88.04	$164.72	$271.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.39 / $163.79 / $225.12	Professional		$90.39	$163.79	$225.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.22 / $109.80 / $180.63	Professional		$17.22	$109.80	$180.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $123.30 / $169.51 / $182.24	Facility		$123.30	$169.51	$182.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.22 / $116.87 / $124.30	Facility		$45.22	$116.87	$124.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.26 / $173.36 / $231.87	Professional		$121.26	$173.36	$231.87
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 $117.93 / $158.78 / $214.14	Professional		$117.93	$158.78	$214.14
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 $113.85 / $193.58 / $254.61	Professional		$113.85	$193.58	$254.61