Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.54 / $317.18 / $13,750.00	Facility		$88.54	$317.18	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.14 / $108.21 / $232.41	Professional		$45.14	$108.21	$232.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $76.56 / $1,874.13 / $3,814.01	Facility		$76.56	$1,874.13	$3,814.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $83.21 / $198.04 / $796.64	Professional		$83.21	$198.04	$796.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.90 / $92.90 / $154.77	Facility		$92.90	$92.90	$154.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.97 / $150.50 / $326.36	Professional		$76.97	$150.50	$326.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $136.91 / $345.00	Facility		$75.86	$136.91	$345.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $130.34 / $278.86	Professional		$75.86	$130.34	$278.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $166.42 / $273.26	Professional		$26.04	$166.42	$273.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $96.48 / $202.74 / $225.12	Facility		$96.48	$202.74	$225.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.56 / $145.87 / $146.69	Facility		$76.56	$145.87	$146.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.36 / $146.69 / $277.66	Professional		$85.36	$146.69	$277.66
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 $77.01 / $146.79 / $248.45	Professional		$77.01	$146.79	$248.45
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 $139.32 / $227.05 / $315.89	Professional		$139.32	$227.05	$315.89