Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.38 / $1,557.48 / $11,522.02	Facility		$163.38	$1,557.48	$11,522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $486.65 / $1,155.56	Professional		$80.84	$486.65	$1,155.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $800.66 / $938.02	Facility		$55.00	$800.66	$938.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $155.87 / $1,076.90 / $4,320.88	Professional		$155.87	$1,076.90	$4,320.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.36 / $813.53 / $1,823.67	Professional		$141.36	$813.53	$1,823.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $132.50 / $715.48 / $2,016.56	Facility		$132.50	$715.48	$2,016.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.58 / $715.48 / $2,000.46	Professional		$140.58	$715.48	$2,000.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.72 / $940.89 / $1,553.84	Professional		$147.72	$940.89	$1,553.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $178.89 / $1,116.46 / $1,528.27	Facility		$178.89	$1,116.46	$1,528.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.66 / $800.66 / $843.49	Facility		$800.66	$800.66	$843.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.57 / $291.32 / $1,589.24	Professional		$150.57	$291.32	$1,589.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $142.69 / $287.89 / $1,372.38	Professional		$142.69	$287.89	$1,372.38
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 $915.64 / $1,309.52 / $1,959.88	Professional		$915.64	$1,309.52	$1,959.88