Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.80 / $342.98 / $12,214.00	Facility		$111.80	$342.98	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $119.86 / $291.12	Professional		$57.50	$119.86	$291.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $104.34 / $8,576.15 / $17,453.22	Facility		$104.34	$8,576.15	$17,453.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $96.93 / $187.06 / $1,265.00	Professional		$96.93	$187.06	$1,265.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.07 / $131.07 / $218.36	Facility		$131.07	$131.07	$218.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $185.26 / $391.90	Professional		$99.00	$185.26	$391.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $94.73 / $170.04 / $420.00	Facility		$94.73	$170.04	$420.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.73 / $155.57 / $315.20	Professional		$94.73	$155.57	$315.20
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 $119.26 / $239.08 / $262.48	Facility		$119.26	$239.08	$262.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.34 / $175.49 / $175.76	Facility		$104.34	$175.49	$175.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $175.49 / $333.97	Professional		$104.60	$175.49	$333.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,101.25 / $17,453.22	Facility		$5,916.52	$9,101.25	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $96.93 / $179.26 / $297.22	Professional		$96.93	$179.26	$297.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.27 / $252.55 / $372.67	Professional		$159.27	$252.55	$372.67