Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.26 / $110.72 / $392.67	Facility		$49.26	$110.72	$392.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $49.26 / $99.55	Professional		$38.15	$49.26	$99.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $181.68 / $1,132.74 / $2,235.80	Facility		$181.68	$1,132.74	$2,235.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $54.98 / $92.95 / $256.51	Professional		$54.98	$92.95	$256.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.52 / $780.44 / $1,926.24	Facility		$397.52	$780.44	$1,926.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.34 / $87.49 / $138.49	Professional		$50.34	$87.49	$138.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $42.16 / $99.28 / $1,678.39	Facility		$42.16	$99.28	$1,678.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $95.14 / $130.31	Professional		$42.16	$95.14	$130.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.29 / $51.91 / $90.06	Professional		$9.29	$51.91	$90.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $62.23 / $78.98 / $88.44	Facility		$62.23	$78.98	$88.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.91 / $53.91 / $54.38	Facility		$53.91	$53.91	$54.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.62 / $90.71 / $111.54	Professional		$60.62	$90.71	$111.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $731.61 / $1,140.56 / $2,222.71	Facility		$731.61	$1,140.56	$2,222.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $54.98 / $82.35 / $111.67	Professional		$54.98	$82.35	$111.67
United Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $43.20 / $107.59	Professional		$34.97	$43.20	$107.59