Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.93 / $128.63 / $9,912.24	Facility		$58.93	$128.63	$9,912.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $58.93 / $78.67	Professional		$57.53	$58.93	$78.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $63.34 / $68.70 / $343.50	Facility		$63.34	$68.70	$343.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $62.57 / $65.86 / $300.02	Professional		$62.57	$65.86	$300.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.93 / $58.93 / $7,711.50	Facility		$58.93	$58.93	$7,711.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $58.93 / $58.93	Professional		$58.93	$58.93	$58.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $197.68 / $314.55 / $610.66	Facility		$197.68	$314.55	$610.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.98 / $77.98 / $77.98	Professional		$77.98	$77.98	$77.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $63.34 / $63.34 / $79,999.20	Facility		$63.34	$63.34	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.34 / $63.34 / $63.34	Facility		$63.34	$63.34	$63.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.34 / $63.34 / $63.34	Professional		$63.34	$63.34	$63.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $65.86 / $66.73 / $166.18	Facility		$65.86	$66.73	$166.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $62.57 / $65.86 / $65.86	Professional		$62.57	$65.86	$65.86
United Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $57.78 / $69.34	Professional		$57.78	$57.78	$69.34