Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.93 / $786.60 / $9,703.00	Facility		$135.93	$786.60	$9,703.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $132.84 / $301.25	Professional		$80.42	$132.84	$301.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $366.35 / $2,278.19 / $9,102.00	Facility		$366.35	$2,278.19	$9,102.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $140.32 / $244.55 / $856.96	Professional		$140.32	$244.55	$856.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.53 / $4,005.00 / $8,593.00	Facility		$85.53	$4,005.00	$8,593.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.46 / $212.87 / $354.19	Professional		$125.46	$212.87	$354.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $103.20 / $190.32 / $363.75	Facility		$103.20	$190.32	$363.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.32 / $183.31 / $297.01	Professional		$109.32	$183.31	$297.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $167.68 / $273.41	Professional		$25.91	$167.68	$273.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $139.49 / $225.32 / $241.20	Facility		$139.49	$225.32	$241.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.75 / $156.74 / $163.15	Facility		$63.75	$156.74	$163.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.65 / $206.34 / $304.39	Professional		$139.65	$206.34	$304.39
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 $124.55 / $188.69 / $276.32	Professional		$124.55	$188.69	$276.32
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 $152.68 / $248.19 / $343.53	Professional		$152.68	$248.19	$343.53