Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.15 / $225.86 / $13,603.86	Facility		$84.15	$225.86	$13,603.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $93.85 / $216.69	Professional		$60.27	$93.85	$216.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $57.69 / $2,141.39 / $4,357.93	Facility		$57.69	$2,141.39	$4,357.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $107.32 / $192.67 / $716.40	Professional		$107.32	$192.67	$716.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.58 / $73.58 / $122.58	Facility		$73.58	$73.58	$122.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.74 / $158.49 / $293.02	Professional		$94.74	$158.49	$293.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $77.48 / $136.00 / $305.62	Facility		$77.48	$136.00	$305.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $132.69 / $205.15	Professional		$77.81	$132.69	$205.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $167.04 / $273.41	Professional		$25.90	$167.04	$273.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $109.35 / $157.72 / $194.97	Facility		$109.35	$157.72	$194.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.69 / $131.37 / $132.99	Facility		$57.69	$131.37	$132.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.65 / $154.09 / $243.77	Professional		$105.65	$154.09	$243.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,477.31 / $2,250.40 / $4,357.93	Facility		$1,477.31	$2,250.40	$4,357.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.31 / $146.91 / $225.23	Professional		$95.31	$146.91	$225.23
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 $111.80 / $178.63 / $280.95	Professional		$111.80	$178.63	$280.95