Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.40 / $644.97 / $9,703.00	Facility		$208.40	$644.97	$9,703.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.23 / $142.46 / $336.79	Professional		$93.23	$142.46	$336.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.71 / $530.79 / $1,080.21	Facility		$90.71	$530.79	$1,080.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $190.94 / $372.49 / $1,384.32	Professional		$190.94	$372.49	$1,384.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.63 / $154.63 / $257.63	Facility		$154.63	$154.63	$257.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.34 / $308.58 / $569.73	Professional		$144.34	$308.58	$569.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $117.39 / $207.24 / $411.03	Facility		$117.39	$207.24	$411.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.35 / $207.35 / $338.05	Professional		$124.35	$207.35	$338.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.01 / $246.96 / $423.24	Professional		$39.01	$246.96	$423.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.49 / $270.80 / $377.21	Facility		$165.49	$270.80	$377.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.71 / $255.49 / $257.29	Facility		$90.71	$255.49	$257.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.52 / $290.23 / $469.26	Professional		$192.52	$290.23	$469.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $366.18 / $564.38 / $1,080.21	Facility		$366.18	$564.38	$1,080.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $180.40 / $265.39 / $429.94	Professional		$180.40	$265.39	$429.94
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 $187.74 / $355.68 / $543.55	Professional		$187.74	$355.68	$543.55