Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.60 / $2,291.00 / $18,711.00	Facility		$95.60	$2,291.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $87.71 / $216.64	Professional		$67.95	$87.71	$216.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $101.47 / $4,217.50	Facility		$55.00	$101.47	$4,217.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $109.14 / $186.95 / $1,995.00	Professional		$109.14	$186.95	$1,995.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.65 / $155.10 / $224.93	Professional		$96.65	$155.10	$224.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $92.09 / $157.32 / $191.06	Facility		$92.09	$157.32	$191.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.09 / $157.32 / $191.06	Professional		$92.09	$157.32	$191.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $110.96 / $180.72	Professional		$17.11	$110.96	$180.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $106.11 / $144.47 / $152.32	Facility		$106.11	$144.47	$152.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.47 / $101.47 / $102.83	Facility		$101.47	$101.47	$102.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.14 / $171.96 / $210.89	Professional		$109.14	$171.96	$210.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $103.49 / $147.91 / $199.24	Professional		$103.49	$147.91	$199.24
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $2,446.00 / $36,803.00	Facility		$703.00	$2,446.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $152.32 / $218.40	Professional		$97.00	$152.32	$218.40