Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.40 / $534.12 / $13,750.00	Facility		$90.40	$534.12	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.75 / $158.22 / $327.76	Professional		$44.75	$158.22	$327.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $258.20 / $337.45	Facility		$55.00	$258.20	$337.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $86.21 / $345.72 / $1,395.20	Professional		$86.21	$345.72	$1,395.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.47 / $203.92 / $576.28	Professional		$78.47	$203.92	$576.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $74.00 / $178.87 / $512.98	Facility		$74.00	$178.87	$512.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.51 / $178.87 / $513.16	Professional		$78.51	$178.87	$513.16
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 $99.83 / $361.98 / $395.30	Facility		$99.83	$361.98	$395.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.20 / $258.20 / $265.01	Facility		$258.20	$258.20	$265.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.91 / $162.34 / $500.09	Professional		$83.91	$162.34	$500.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $79.16 / $161.52 / $437.31	Professional		$79.16	$161.52	$437.31
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $910.00 / $5,793.00	Facility		$190.00	$910.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $259.60 / $395.37 / $575.25	Professional		$259.60	$395.37	$575.25