Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.52 / $85.52 / $85.52	Facility		$85.52	$85.52	$85.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.26 / $85.52 / $99.26	Professional		$61.26	$85.52	$99.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $949.44 / $1,530.86 / $2,930.04	Facility		$949.44	$1,530.86	$2,930.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $94.60 / $157.51 / $982.00	Professional		$94.60	$157.51	$982.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $690.48 / $1,011.91 / $2,524.36	Facility		$690.48	$1,011.91	$2,524.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.05 / $157.01 / $237.56	Professional		$94.05	$157.01	$237.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $72.23 / $175.22 / $2,162.39	Facility		$72.23	$175.22	$2,162.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $161.47 / $221.67	Professional		$72.23	$161.47	$221.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.13 / $45.00 / $50.00	Professional		$13.13	$45.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $91.00 / $135.33 / $138.69	Facility		$91.00	$135.33	$138.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.60 / $94.60 / $95.13	Facility		$94.60	$94.60	$95.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.34 / $157.80 / $194.02	Professional		$106.34	$157.80	$194.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $949.44 / $1,494.71 / $2,912.89	Facility		$949.44	$1,494.71	$2,912.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.02 / $143.24 / $194.25	Professional		$97.02	$143.24	$194.25
United Facility/Professional Professional Modifier Low / Median / High Price $78.52 / $102.39 / $251.34	Professional		$78.52	$102.39	$251.34