Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.63 / $244.31 / $17,930.00	Facility		$153.63	$244.31	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $126.77 / $244.31	Professional		$86.40	$126.77	$244.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $221.07 / $221.07 / $221.07	Professional	50	$221.07	$221.07	$221.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $1,874.13 / $3,814.01	Facility		$69.80	$1,874.13	$3,814.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $146.09 / $248.75 / $897.60	Professional		$146.09	$248.75	$897.60
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $125.03 / $246.65 / $347.16	Professional	50	$125.03	$246.65	$347.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.97 / $91.97 / $153.22	Facility		$91.97	$91.97	$153.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $218.09 / $364.08	Professional		$136.66	$218.09	$364.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $105.71 / $196.07 / $376.87	Facility		$105.71	$196.07	$376.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.78 / $188.68 / $300.25	Professional		$105.78	$188.68	$300.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $166.95 / $273.41	Professional		$25.91	$166.95	$273.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $136.80 / $220.35 / $242.54	Facility		$136.80	$220.35	$242.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $162.16 / $165.43	Facility		$69.80	$162.16	$165.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.40 / $211.94 / $303.25	Professional		$145.40	$211.94	$303.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,292.92 / $1,992.71 / $3,814.01	Facility		$1,292.92	$1,992.71	$3,814.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $134.09 / $193.32 / $280.19	Professional		$134.09	$193.32	$280.19
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $1,106.00 / $4,911.00	Facility		$591.00	$1,106.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $234.90 / $346.63	Professional		$149.16	$234.90	$346.63