Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.76 / $5,116.62 / $20,680.40	Facility		$163.76	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $163.76 / $226.17	Professional		$29.16	$163.76	$226.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $132.41 / $173.24 / $331.58	Facility		$132.41	$173.24	$331.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $38.81 / $70.50 / $286.30	Professional		$38.81	$70.50	$286.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.74 / $45.74 / $45.74	Professional		$45.74	$45.74	$45.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $56.85 / $170.26 / $503.34	Facility		$56.85	$170.26	$503.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.09 / $85.09 / $85.09	Professional		$85.09	$85.09	$85.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.44 / $14.60 / $16.52	Facility		$12.44	$14.60	$16.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.76 / $162.16 / $162.16	Facility		$39.76	$162.16	$162.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.46 / $66.31 / $217.63	Professional		$43.46	$66.31	$217.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $127.08 / $173.34 / $331.58	Facility		$127.08	$173.34	$331.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.81 / $51.28 / $317.75	Professional		$38.81	$51.28	$317.75
United Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $414.00 / $5,793.00	Facility		$118.00	$414.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.83 / $44.24 / $72.77	Professional		$33.83	$44.24	$72.77