Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.42 / $241.17 / $12,214.00	Facility		$119.42	$241.17	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.15 / $97.50 / $209.10	Professional		$65.15	$97.50	$209.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $60.54 / $2,141.39 / $4,357.93	Facility		$60.54	$2,141.39	$4,357.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $113.18 / $199.69 / $770.16	Professional		$113.18	$199.69	$770.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.18 / $78.18 / $130.25	Facility		$78.18	$78.18	$130.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.93 / $175.15 / $314.98	Professional		$104.93	$175.15	$314.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $82.34 / $146.85 / $326.25	Facility		$82.34	$146.85	$326.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $146.16 / $222.76	Professional		$84.63	$146.16	$222.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $167.04 / $273.41	Professional		$25.91	$167.04	$273.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $110.95 / $170.85 / $209.71	Facility		$110.95	$170.85	$209.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.54 / $140.43 / $143.04	Facility		$60.54	$140.43	$143.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.99 / $168.75 / $262.20	Professional		$116.99	$168.75	$262.20
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 $104.47 / $160.10 / $242.26	Professional		$104.47	$160.10	$242.26
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 $118.68 / $203.49 / $300.27	Professional		$118.68	$203.49	$300.27