Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.04 / $5,116.62 / $20,680.40	Facility		$233.04	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.96 / $233.04 / $251.24	Professional		$176.96	$233.04	$251.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $250.51 / $377.28 / $828.08	Facility		$250.51	$377.28	$828.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $255.49 / $437.75 / $1,616.93	Professional		$255.49	$437.75	$1,616.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.14 / $436.31 / $584.59	Professional		$330.14	$436.31	$584.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $180.93 / $494.06 / $673.77	Facility		$180.93	$494.06	$673.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.93 / $475.60 / $673.77	Professional		$180.93	$475.60	$673.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $72.03 / $188.36	Professional		$7.20	$72.03	$188.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $62.82 / $157.06 / $171.24	Facility		$62.82	$157.06	$171.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.51 / $250.51 / $253.18	Facility		$250.51	$250.51	$253.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.86 / $422.31 / $519.26	Professional		$269.86	$422.31	$519.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $255.49 / $364.20 / $490.57	Professional		$255.49	$364.20	$490.57
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 $212.10 / $399.44 / $533.92	Professional		$212.10	$399.44	$533.92