Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.94 / $333.58 / $13,750.00	Facility		$156.94	$333.58	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.68 / $118.74 / $275.82	Professional		$89.68	$118.74	$275.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $74.43 / $854.53 / $1,739.05	Facility		$74.43	$854.53	$1,739.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $157.91 / $275.37 / $990.00	Professional		$157.91	$275.37	$990.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.41 / $98.41 / $163.96	Facility		$98.41	$98.41	$163.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.25 / $233.12 / $402.86	Professional		$139.25	$233.12	$402.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $110.47 / $199.74 / $322.81	Facility		$110.47	$199.74	$322.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.76 / $198.09 / $294.95	Professional		$110.76	$198.09	$294.95
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 $149.91 / $224.58 / $269.33	Facility		$149.91	$224.58	$269.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.43 / $178.48 / $183.71	Facility		$74.43	$178.48	$183.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.91 / $230.14 / $336.76	Professional		$157.91	$230.14	$336.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $663.37 / $908.60 / $1,739.05	Facility		$663.37	$908.60	$1,739.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $143.24 / $208.88 / $311.14	Professional		$143.24	$208.88	$311.14
United Facility/Professional Facility Modifier Low / Median / High Price $823.32 / $1,120.33 / $2,055.92	Facility		$823.32	$1,120.33	$2,055.92
United Facility/Professional Professional Modifier Low / Median / High Price $158.69 / $217.25 / $384.27	Professional		$158.69	$217.25	$384.27