Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.83 / $203.55 / $11,522.02	Facility		$56.83	$203.55	$11,522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.29 / $80.70 / $212.24	Professional		$44.29	$80.70	$212.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $77.98 / $854.53 / $1,739.05	Facility		$77.98	$854.53	$1,739.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $201.04 / $765.52	Professional		$80.59	$201.04	$765.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.75 / $111.75 / $186.17	Facility		$111.75	$111.75	$186.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.05 / $126.51 / $317.60	Professional		$70.05	$126.51	$317.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $112.27 / $288.04	Facility		$67.27	$112.27	$288.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $109.76 / $196.25	Professional		$67.27	$109.76	$196.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $167.68 / $273.77	Professional		$25.91	$167.68	$273.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $139.36 / $211.72	Facility		$87.10	$139.36	$211.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.98 / $144.41 / $144.96	Facility		$77.98	$144.41	$144.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.44 / $144.41 / $264.70	Professional		$76.44	$144.41	$264.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $589.53 / $908.60 / $1,739.05	Facility		$589.53	$908.60	$1,739.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $71.08 / $124.81 / $244.58	Professional		$71.08	$124.81	$244.58
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 $107.52 / $203.70 / $307.99	Professional		$107.52	$203.70	$307.99