Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.75 / $182.91 / $17,930.00	Facility		$85.75	$182.91	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.43 / $96.68 / $197.48	Professional		$45.43	$96.68	$197.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $70.51 / $664.85 / $1,324.12	Facility		$70.51	$664.85	$1,324.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $79.69 / $181.59 / $711.04	Professional		$79.69	$181.59	$711.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.21 / $89.21 / $148.63	Facility		$89.21	$89.21	$148.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.59 / $139.47 / $291.97	Professional		$74.59	$139.47	$291.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $74.27 / $130.34 / $258.72	Facility		$74.27	$130.34	$258.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.27 / $124.12 / $238.32	Professional		$74.27	$124.12	$238.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $167.04 / $273.41	Professional		$25.76	$167.04	$273.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $94.47 / $182.16 / $195.84	Facility		$94.47	$182.16	$195.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.51 / $130.46 / $131.16	Facility		$70.51	$130.46	$131.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.37 / $131.16 / $244.85	Professional		$82.37	$131.16	$244.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $505.09 / $691.81 / $1,339.15	Facility		$505.09	$691.81	$1,339.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.84 / $133.06 / $222.14	Professional		$74.84	$133.06	$222.14
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 $124.16 / $209.46 / $294.20	Professional		$124.16	$209.46	$294.20