Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $60.11 / $673.87	Professional		$36.36	$60.11	$673.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $65.69 / $65.69 / $837.04	Facility		$65.69	$65.69	$837.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $118.92 / $1,513.31 / $5,483.25	Professional		$118.92	$1,513.31	$5,483.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.95 / $901.95 / $1,002.17	Professional		$901.95	$901.95	$1,002.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $34.57 / $100.59 / $259.68	Facility		$34.57	$100.59	$259.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,863.21 / $1,863.21 / $1,863.21	Professional		$1,863.21	$1,863.21	$1,863.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $75.00	Professional		$45.00	$45.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $364.81 / $608.02 / $1,277.02	Facility		$364.81	$608.02	$1,277.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.69 / $65.69 / $65.69	Facility		$65.69	$65.69	$65.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.27 / $1,072.54 / $1,728.93	Professional		$184.27	$1,072.54	$1,728.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $118.92 / $584.40 / $1,446.03	Professional		$118.92	$584.40	$1,446.03
United Facility/Professional Professional Modifier Low / Median / High Price $85.41 / $120.28 / $1,753.10	Professional		$85.41	$120.28	$1,753.10