Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.73 / $168.85 / $383.63	Facility		$85.73	$168.85	$383.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.64 / $85.73 / $250.82	Professional		$65.64	$85.73	$250.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,268.36 / $4,021.72 / $7,697.50	Facility		$1,268.36	$4,021.72	$7,697.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $95.63 / $161.80 / $445.73	Professional		$95.63	$161.80	$445.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,688.11 / $2,686.06 / $6,631.74	Facility		$1,688.11	$2,686.06	$6,631.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.42 / $159.86 / $241.42	Professional		$99.42	$159.86	$241.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $87.42 / $184.19 / $5,739.12	Facility		$87.42	$184.19	$5,739.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.42 / $170.70 / $240.31	Professional		$87.42	$170.70	$240.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.58 / $103.83 / $180.06	Professional		$18.58	$103.83	$180.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $113.85 / $138.69 / $204.40	Facility		$113.85	$138.69	$204.40
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $602.39 / $857.90 / $1,251.05	Professional		$602.39	$857.90	$1,251.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.77 / $93.77 / $94.60	Facility		$93.77	$93.77	$94.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.82 / $157.80 / $194.02	Professional		$105.82	$157.80	$194.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,517.57 / $3,926.74 / $7,652.44	Facility		$2,517.57	$3,926.74	$7,652.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.63 / $143.24 / $212.49	Professional		$95.63	$143.24	$212.49
United Facility/Professional Professional Modifier Low / Median / High Price $61.05 / $75.41 / $187.82	Professional		$61.05	$75.41	$187.82