Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.92 / $2,291.00 / $18,711.00	Facility		$214.92	$2,291.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.52 / $147.38 / $314.08	Professional		$113.52	$147.38	$314.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $515.72 / $921.81 / $11,500.00	Facility		$515.72	$921.81	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $164.17 / $276.48 / $1,131.01	Professional		$164.17	$276.48	$1,131.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.32 / $225.32 / $375.38	Facility		$225.32	$225.32	$375.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.26 / $241.82 / $349.92	Professional		$158.26	$241.82	$349.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $162.85 / $266.83 / $878.49	Facility		$162.85	$266.83	$878.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.23 / $262.70 / $348.97	Professional		$165.23	$262.70	$348.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $164.93 / $270.62	Professional		$25.72	$164.93	$270.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $189.27 / $223.88 / $238.52	Facility		$189.27	$223.88	$238.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.11 / $156.29 / $159.49	Facility		$139.11	$156.29	$159.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.29 / $267.08 / $327.12	Professional		$171.29	$267.08	$327.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $641.13 / $855.35 / $1,623.81	Facility		$641.13	$855.35	$1,623.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $159.38 / $229.43 / $309.04	Professional		$159.38	$229.43	$309.04
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 $156.63 / $238.52 / $347.10	Professional		$156.63	$238.52	$347.10