Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.31 / $271.61 / $18,711.00	Facility		$175.31	$271.61	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.37 / $122.40 / $254.73	Professional		$89.37	$122.40	$254.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $151.76 / $1,061.33 / $2,159.90	Facility		$151.76	$1,061.33	$2,159.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $156.75 / $259.80 / $1,073.61	Professional		$156.75	$259.80	$1,073.61
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $250.32 / $304.32 / $474.00	Professional	50	$250.32	$304.32	$474.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.51 / $181.99 / $351.46	Professional		$111.51	$181.99	$351.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $125.83 / $171.99 / $291.06	Facility		$125.83	$171.99	$291.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.92 / $175.00 / $290.68	Professional		$125.92	$175.00	$290.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $152.09 / $264.27	Professional		$27.16	$152.09	$264.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $156.49 / $216.41 / $229.81	Facility		$156.49	$216.41	$229.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.86 / $151.76 / $156.75	Facility		$42.86	$151.76	$156.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.75 / $234.96 / $294.17	Professional		$156.75	$234.96	$294.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $732.19 / $1,128.49 / $2,159.90	Facility		$732.19	$1,128.49	$2,159.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $135.37 / $215.43 / $289.77	Professional		$135.37	$215.43	$289.77
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 $135.50 / $177.11 / $324.14	Professional		$135.50	$177.11	$324.14