Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.85 / $276.44 / $18,711.00	Facility		$117.85	$276.44	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $137.99 / $315.66	Professional		$60.00	$137.99	$315.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $122.14 / $4,062.29 / $8,267.12	Facility		$122.14	$4,062.29	$8,267.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $116.41 / $288.98 / $1,071.76	Professional		$116.41	$288.98	$1,071.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.85 / $150.85 / $251.31	Facility		$150.85	$150.85	$251.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.34 / $195.25 / $444.16	Professional		$104.34	$195.25	$444.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $98.10 / $186.36 / $479.06	Facility		$98.10	$186.36	$479.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.10 / $169.32 / $347.79	Professional		$98.10	$169.32	$347.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.76 / $221.32 / $361.37	Professional		$34.76	$221.32	$361.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $121.94 / $262.64 / $291.45	Facility		$121.94	$262.64	$291.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.14 / $198.80 / $198.87	Facility		$122.14	$198.80	$198.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.60 / $198.80 / $365.91	Professional		$114.60	$198.80	$365.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,153.55 / $4,319.34 / $8,267.12	Facility		$3,153.55	$4,319.34	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $102.32 / $197.09 / $336.69	Professional		$102.32	$197.09	$336.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $1,343.15 / $6,857.00	Facility		$1,120.00	$1,343.15	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.50 / $280.00 / $423.84	Professional		$173.50	$280.00	$423.84