Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.22 / $175.71 / $11,522.02	Facility		$82.22	$175.71	$11,522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.18 / $69.40 / $139.52	Professional		$50.18	$69.40	$139.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $89.69 / $352.32 / $692.47	Facility		$89.69	$352.32	$692.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $88.75 / $140.47 / $902.20	Professional		$88.75	$140.47	$902.20
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $118.23 / $151.22 / $262.50	Professional	50	$118.23	$151.22	$262.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.65 / $96.77 / $205.24	Professional		$57.65	$96.77	$205.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $65.44 / $97.00 / $170.81	Facility		$65.44	$97.00	$170.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $98.78 / $167.94	Professional		$65.56	$98.78	$167.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $101.83 / $176.59	Professional		$18.18	$101.83	$176.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $91.57 / $126.87 / $136.01	Facility		$91.57	$126.87	$136.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.56 / $89.69 / $92.77	Facility		$35.56	$89.69	$92.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.39 / $121.17 / $170.05	Professional		$81.39	$121.17	$170.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $234.74 / $361.80 / $692.47	Facility		$234.74	$361.80	$692.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $116.95 / $166.00	Professional		$67.45	$116.95	$166.00
United Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $414.00 / $5,793.00	Facility		$118.00	$414.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.60 / $106.15 / $189.99	Professional		$84.60	$106.15	$189.99