Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.91 / $171.45 / $17,930.00	Facility		$104.91	$171.45	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.34 / $89.56 / $198.37	Professional		$58.34	$89.56	$198.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $552.16 / $1,080.21	Facility		$55.00	$552.16	$1,080.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $104.28 / $187.89 / $678.40	Professional		$104.28	$187.89	$678.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.15 / $67.15 / $111.87	Facility		$67.15	$67.15	$111.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.29 / $149.97 / $276.31	Professional		$91.29	$149.97	$276.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $75.38 / $133.21 / $233.87	Facility		$75.38	$133.21	$233.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.64 / $132.97 / $213.01	Professional		$75.64	$132.97	$213.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $111.26 / $181.04	Professional		$17.14	$111.26	$181.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $106.88 / $162.81 / $184.92	Facility		$106.88	$162.81	$184.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.93 / $123.22 / $126.13	Facility		$50.93	$123.22	$126.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.67 / $156.02 / $232.88	Professional		$102.67	$156.02	$232.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $426.51 / $564.70 / $1,080.21	Facility		$426.51	$564.70	$1,080.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $92.62 / $141.16 / $213.62	Professional		$92.62	$141.16	$213.62
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 $111.00 / $198.63 / $265.51	Professional		$111.00	$198.63	$265.51