Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.74 / $252.25 / $17,930.00	Facility		$131.74	$252.25	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.27 / $107.00 / $243.65	Professional		$68.27	$107.00	$243.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $773.81 / $1,579.18	Facility		$55.00	$773.81	$1,579.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $115.44 / $185.50 / $845.36	Professional		$115.44	$185.50	$845.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.30 / $97.30 / $479.00	Facility		$97.30	$97.30	$479.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $134.79 / $257.79	Professional		$79.45	$134.79	$257.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $49.64 / $115.11 / $219.24	Facility		$49.64	$115.11	$219.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $120.95 / $213.29	Professional		$49.95	$120.95	$213.29
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 $118.66 / $160.63 / $180.23	Facility		$118.66	$160.63	$180.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.22 / $114.61 / $116.99	Facility		$46.22	$114.61	$116.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.57 / $167.78 / $220.67	Professional		$115.57	$167.78	$220.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $602.39 / $825.55 / $1,579.18	Facility		$602.39	$825.55	$1,579.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $96.56 / $160.10 / $218.64	Professional		$96.56	$160.10	$218.64
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 $98.70 / $126.90 / $232.65	Professional		$98.70	$126.90	$232.65