Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.12 / $685.45 / $20,680.40	Facility		$316.12	$685.45	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.87 / $316.12 / $623.36	Professional		$219.87	$316.12	$623.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $321.63 / $4,919.58	Facility		$55.00	$321.63	$4,919.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $335.87 / $560.04 / $2,177.80	Professional		$335.87	$560.04	$2,177.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.39 / $481.67 / $703.78	Professional		$311.39	$481.67	$703.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $289.80 / $506.77 / $615.46	Facility		$289.80	$506.77	$615.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $296.64 / $506.77 / $615.46	Professional		$296.64	$506.77	$615.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.94 / $371.47 / $606.45	Professional		$57.94	$371.47	$606.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $344.48 / $449.64 / $482.80	Facility		$344.48	$449.64	$482.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $321.63 / $321.63 / $326.30	Facility		$321.63	$321.63	$326.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.34 / $544.28 / $669.23	Professional		$343.34	$544.28	$669.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $328.02 / $469.39 / $632.25	Professional		$328.02	$469.39	$632.25
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $2,446.00 / $36,803.00	Facility		$703.00	$2,446.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $309.76 / $501.33 / $696.96	Professional		$309.76	$501.33	$696.96