Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.83 / $93.17 / $166.75	Facility		$79.83	$93.17	$166.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $79.08 / $136.04	Professional		$50.00	$79.08	$136.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $74.03 / $110.50 / $5,294.00	Facility		$74.03	$110.50	$5,294.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $81.77 / $127.45 / $588.60	Professional		$81.77	$127.45	$588.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.64 / $109.58 / $160.38	Professional		$80.64	$109.58	$160.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $57.35 / $123.72 / $149.24	Facility		$57.35	$123.72	$149.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.69 / $123.72 / $153.08	Professional		$74.69	$123.72	$153.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $53.38 / $86.03	Professional		$8.78	$53.38	$86.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $86.73 / $102.70 / $119.93	Facility		$86.73	$102.70	$119.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.03 / $74.03 / $80.18	Facility		$74.03	$74.03	$80.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.55 / $122.50 / $146.94	Professional		$77.55	$122.50	$146.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $81.77 / $106.50 / $143.44	Professional		$81.77	$106.50	$143.44
United Facility/Professional Facility Modifier Low / Median / High Price $497.00 / $1,078.00 / $6,216.00	Facility		$497.00	$1,078.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $106.80 / $163.34	Professional		$78.31	$106.80	$163.34