Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.57 / $452.88 / $12,214.00	Facility		$90.57	$452.88	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.41 / $141.25 / $390.07	Professional		$44.41	$141.25	$390.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $231.48 / $307.85	Facility		$55.00	$231.48	$307.85
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $85.61 / $312.07 / $1,262.48	Professional		$85.61	$312.07	$1,262.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.17 / $166.34 / $520.09	Professional		$78.17	$166.34	$520.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $73.00 / $147.87 / $423.31	Facility		$73.00	$147.87	$423.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $147.87 / $436.80	Professional		$77.45	$147.87	$436.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.39 / $277.08 / $455.28	Professional		$43.39	$277.08	$455.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $98.49 / $311.77 / $341.70	Facility		$98.49	$311.77	$341.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.48 / $231.48 / $233.07	Facility		$231.48	$231.48	$233.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.55 / $164.52 / $435.00	Professional		$86.55	$164.52	$435.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $79.16 / $159.33 / $394.74	Professional		$79.16	$159.33	$394.74
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 $216.48 / $344.40 / $498.20	Professional		$216.48	$344.40	$498.20