Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.65 / $153.22 / $20,680.40	Facility		$68.65	$153.22	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.22 / $68.65 / $126.15	Professional		$51.22	$68.65	$126.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $68.09 / $311.31 / $504.30	Facility		$68.09	$311.31	$504.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $124.72 / $812.00	Professional		$72.70	$124.72	$812.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.62 / $105.61 / $150.13	Professional		$67.62	$105.61	$150.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $62.81 / $107.30 / $138.97	Facility		$62.81	$107.30	$138.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.81 / $107.30 / $138.44	Professional		$62.81	$107.30	$138.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.79 / $55.83 / $90.92	Professional		$8.79	$55.83	$90.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $78.97 / $99.83 / $109.48	Facility		$78.97	$99.83	$109.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.09 / $68.09 / $68.40	Facility		$68.09	$68.09	$68.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.23 / $117.32 / $140.16	Professional		$78.23	$117.32	$140.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $247.10 / $247.10 / $311.31	Facility		$247.10	$247.10	$311.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $69.76 / $97.95 / $133.83	Professional		$69.76	$97.95	$133.83
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.72 / $109.22 / $158.94	Professional		$71.72	$109.22	$158.94