Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.94 / $291.29 / $13,750.00	Facility		$148.94	$291.29	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $113.39 / $235.21	Professional		$84.85	$113.39	$235.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $70.87 / $530.79 / $1,080.21	Facility		$70.87	$530.79	$1,080.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $148.87 / $258.68 / $933.76	Professional		$148.87	$258.68	$933.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.35 / $93.35 / $155.52	Facility		$93.35	$93.35	$155.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.66 / $218.45 / $379.96	Professional		$132.66	$218.45	$379.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $103.97 / $187.49 / $308.45	Facility		$103.97	$187.49	$308.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.78 / $187.49 / $280.87	Professional		$104.78	$187.49	$280.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $221.93 / $361.44	Professional		$34.22	$221.93	$361.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $148.15 / $214.40 / $253.93	Facility		$148.15	$214.40	$253.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.87 / $169.42 / $173.20	Facility		$70.87	$169.42	$173.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.87 / $217.81 / $317.49	Professional		$148.87	$217.81	$317.49
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 $135.69 / $195.68 / $293.35	Professional		$135.69	$195.68	$293.35
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $910.00 / $5,793.00	Facility		$190.00	$910.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.06 / $246.66 / $363.98	Professional		$144.06	$246.66	$363.98