Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.63 / $172.57 / $359.09	Facility		$87.63	$172.57	$359.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.55 / $87.63 / $256.36	Professional		$73.55	$87.63	$256.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $737.25 / $1,168.81 / $2,235.80	Facility		$737.25	$1,168.81	$2,235.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $165.73 / $462.17	Professional		$97.94	$165.73	$462.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $513.41 / $780.44 / $1,926.24	Facility		$513.41	$780.44	$1,926.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.30 / $163.38 / $246.96	Professional		$100.30	$163.38	$246.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $85.87 / $188.74 / $1,678.39	Facility		$85.87	$188.74	$1,678.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.87 / $184.36 / $233.43	Professional		$85.87	$184.36	$233.43
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 $116.60 / $142.04 / $207.48	Facility		$116.60	$142.04	$207.48
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $602.39 / $602.39 / $602.39	Professional		$602.39	$602.39	$602.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.04 / $96.04 / $96.88	Facility		$96.04	$96.04	$96.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $161.61 / $198.71	Professional		$108.39	$161.61	$198.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $757.92 / $1,142.86 / $2,222.71	Facility		$757.92	$1,142.86	$2,222.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $146.69 / $205.09	Professional		$97.94	$146.69	$205.09
United Facility/Professional Professional Modifier Low / Median / High Price $62.58 / $83.08 / $200.44	Professional		$62.58	$83.08	$200.44