Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.88 / $199.98 / $12,214.00	Facility		$90.88	$199.98	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.57 / $80.29 / $162.56	Professional		$58.57	$80.29	$162.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $263.80 / $700.39 / $11,500.00	Facility		$263.80	$700.39	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $91.94 / $143.24 / $1,520.20	Professional		$91.94	$143.24	$1,520.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.82 / $185.82 / $309.58	Facility		$185.82	$185.82	$309.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.81 / $134.97 / $207.06	Professional		$87.81	$134.97	$207.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $70.87 / $138.19 / $271.77	Facility		$70.87	$138.19	$271.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $134.19 / $195.48	Professional		$74.70	$134.19	$195.48
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 $97.38 / $132.66 / $138.69	Facility		$97.38	$132.66	$138.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.15 / $94.60 / $141.68	Facility		$90.15	$94.60	$141.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.53 / $132.99 / $178.62	Professional		$91.53	$132.99	$178.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $516.30 / $699.99 / $1,339.76	Facility		$516.30	$699.99	$1,339.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $90.47 / $125.25 / $165.36	Professional		$90.47	$125.25	$165.36
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 $87.52 / $143.13 / $195.99	Professional		$87.52	$143.13	$195.99