Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.87 / $5,116.62 / $20,680.40	Facility		$276.87	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.91 / $276.87 / $313.98	Professional		$167.91	$276.87	$313.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $524.23 / $1,129.13 / $2,159.90	Facility		$524.23	$1,129.13	$2,159.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $383.42 / $649.39 / $2,448.98	Professional		$383.42	$649.39	$2,448.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.04 / $397.04 / $397.04	Professional		$397.04	$397.04	$397.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $277.18 / $1,204.54 / $3,019.59	Facility		$277.18	$1,204.54	$3,019.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $858.20 / $858.20 / $858.20	Professional		$858.20	$858.20	$858.20
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 $368.36 / $538.79 / $562.13	Facility		$368.36	$538.79	$562.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $357.42 / $357.42 / $383.42	Facility		$357.42	$357.42	$383.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.67 / $619.29 / $786.39	Professional		$394.67	$619.29	$786.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $823.91 / $1,128.49 / $2,159.90	Facility		$823.91	$1,128.49	$2,159.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $364.52 / $545.75 / $742.93	Professional		$364.52	$545.75	$742.93
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 $354.69 / $570.62 / $801.46	Professional		$354.69	$570.62	$801.46