Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.05 / $488.40 / $7,920.26	Facility		$140.05	$488.40	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $111.25 / $226.38	Professional		$73.05	$111.25	$226.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,874.13 / $3,814.01	Facility		$55.00	$1,874.13	$3,814.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $131.85 / $227.67 / $939.15	Professional		$131.85	$227.67	$939.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.20 / $72.20 / $120.28	Facility		$72.20	$72.20	$120.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.45 / $199.89 / $331.05	Professional		$121.45	$199.89	$331.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $96.33 / $184.80 / $342.18	Facility		$96.33	$184.80	$342.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.82 / $175.49 / $266.45	Professional		$99.82	$175.49	$266.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.13 / $221.93 / $361.44	Professional		$34.13	$221.93	$361.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $135.66 / $212.22 / $220.43	Facility		$135.66	$212.22	$220.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.84 / $146.77 / $150.35	Facility		$54.84	$146.77	$150.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.88 / $190.04 / $275.60	Professional		$129.88	$190.04	$275.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,292.92 / $1,992.71 / $3,814.01	Facility		$1,292.92	$1,992.71	$3,814.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $122.78 / $175.49 / $254.65	Professional		$122.78	$175.49	$254.65
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 $139.91 / $238.36 / $318.62	Professional		$139.91	$238.36	$318.62