Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.92 / $10,122.46 / $27,982.24	Facility		$108.92	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.18 / $102.70 / $108.92	Professional		$71.18	$102.70	$108.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,118.84 / $3,372.71 / $6,451.61	Facility		$2,118.84	$3,372.71	$6,451.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $106.25 / $180.87 / $2,336.63	Professional		$106.25	$180.87	$2,336.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.40 / $160.08 / $231.94	Professional		$108.40	$160.08	$231.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $100.15 / $195.29 / $3,296.63	Facility		$100.15	$195.29	$3,296.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.15 / $174.64 / $222.76	Professional		$100.15	$174.64	$222.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $57.29 / $77.35	Professional		$9.67	$57.29	$77.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $99.88 / $150.18 / $152.09	Facility		$99.88	$150.18	$152.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.28 / $103.28 / $103.74	Facility		$103.28	$103.28	$103.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.10 / $173.49 / $207.64	Professional		$110.10	$173.49	$207.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,187.05 / $3,370.78 / $6,451.61	Facility		$2,187.05	$3,370.78	$6,451.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $105.34 / $149.22 / $201.01	Professional		$105.34	$149.22	$201.01
United Facility/Professional Facility Modifier Low / Median / High Price $55.31 / $1,689.00 / $9,576.00	Facility		$55.31	$1,689.00	$9,576.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.50 / $147.47 / $230.27	Professional		$102.50	$147.47	$230.27