Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.28 / $10,122.46 / $27,982.24	Facility		$389.28	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.00 / $389.28 / $719.28	Professional		$169.00	$389.28	$719.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,884.30	Facility		$55.00	$55.00	$4,884.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $385.77 / $653.39 / $13,680.00	Professional		$385.77	$653.39	$13,680.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $480.09 / $645.13 / $902.88	Professional		$480.09	$645.13	$902.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $244.14 / $459.80 / $644.62	Facility		$244.14	$459.80	$644.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.56 / $463.90 / $658.76	Professional		$246.56	$463.90	$658.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $134.31 / $179.08 / $194.26	Facility		$134.31	$179.08	$194.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $400.00 / $400.00	Facility		$400.00	$400.00	$400.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $747.23	Professional		$400.00	$400.00	$747.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $385.77 / $580.22 / $789.87	Professional		$385.77	$580.22	$789.87
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 $351.48 / $545.78 / $855.37	Professional		$351.48	$545.78	$855.37