Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.38 / $96.34 / $116.24	Professional		$45.38	$96.34	$116.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $152.44 / $493.85 / $10,000.00	Facility		$152.44	$493.85	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $113.47 / $247.05 / $812.18	Professional		$113.47	$247.05	$812.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.94 / $78.94 / $78.94	Facility		$78.94	$78.94	$78.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $76.70 / $76.70	Professional		$76.70	$76.70	$76.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $98.70 / $151.71 / $252.16	Facility		$98.70	$151.71	$252.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.73 / $161.76 / $264.80	Professional		$97.73	$161.76	$264.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $116.05 / $263.75	Professional		$100.00	$116.05	$263.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Professional		$10,000.00	$10,000.00	$10,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $174.49 / $231.57	Professional		$128.90	$174.49	$231.57
United Facility/Professional Professional Modifier Low / Median / High Price $90.25 / $145.08 / $269.39	Professional		$90.25	$145.08	$269.39