Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.06 / $181.83 / $18,711.00	Facility		$112.06	$181.83	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.18 / $90.12 / $201.63	Professional		$64.18	$90.12	$201.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $87.83 / $773.81 / $1,579.18	Facility		$87.83	$773.81	$1,579.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $102.56 / $169.57 / $580.08	Professional		$102.56	$169.57	$580.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.14 / $78.14 / $78.14	Facility		$78.14	$78.14	$78.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.93 / $121.16 / $231.80	Professional		$70.93	$121.16	$231.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $106.01 / $190.71	Facility		$39.86	$106.01	$190.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $106.93 / $189.50	Professional		$40.11	$106.93	$189.50
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 $107.56 / $144.19 / $154.77	Facility		$107.56	$144.19	$154.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.83 / $100.57 / $105.57	Facility		$87.83	$100.57	$105.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.96 / $148.82 / $193.46	Professional		$101.96	$148.82	$193.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $535.33 / $825.55 / $1,579.18	Facility		$535.33	$825.55	$1,579.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $84.08 / $143.24 / $192.04	Professional		$84.08	$143.24	$192.04
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 $91.09 / $118.00 / $206.95	Professional		$91.09	$118.00	$206.95