Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.00 / $254.00 / $534.14	Facility		$98.00	$254.00	$534.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $634.40 / $1,559.20	Professional		$176.00	$634.40	$1,559.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $164.79 / $257.51 / $492.60	Facility		$164.79	$257.51	$492.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $960.00 / $64,999.35	Professional		$50.00	$960.00	$64,999.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.23 / $297.08 / $374.65	Facility		$127.23	$297.08	$374.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $82.61 / $227.21 / $547.72	Facility		$82.61	$227.21	$547.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $65.00	Professional		$45.00	$50.00	$65.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $221.11 / $221.11 / $330.79	Facility		$221.11	$221.11	$330.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.69 / $42.69 / $42.69	Facility		$42.69	$42.69	$42.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $187.90 / $251.29 / $489.71	Facility		$187.90	$251.29	$489.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00