Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.20 / $5,116.62 / $20,680.40	Facility		$53.20	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $53.20 / $57.96	Professional		$8.00	$53.20	$57.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $140.90 / $362.00 / $692.47	Facility		$140.90	$362.00	$692.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $82.24 / $166.00 / $635.70	Professional		$82.24	$166.00	$635.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.58 / $104.58 / $104.58	Professional		$104.58	$104.58	$104.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $115.16 / $207.45 / $499.13	Facility		$115.16	$207.45	$499.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.01 / $216.01 / $216.01	Professional		$216.01	$216.01	$216.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.29 / $60.43 / $68.81	Facility		$41.29	$60.43	$68.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.63 / $80.63 / $101.00	Facility		$80.63	$80.63	$101.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.04 / $139.74 / $200.47	Professional		$96.04	$139.74	$200.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $220.24 / $353.97 / $692.47	Facility		$220.24	$353.97	$692.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $82.24 / $165.50 / $234.66	Professional		$82.24	$165.50	$234.66
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 $24.20 / $46.98 / $221.35	Professional		$24.20	$46.98	$221.35