Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.09 / $369.98 / $20,680.40	Facility		$163.09	$369.98	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.87 / $163.09 / $336.46	Professional		$127.87	$163.09	$336.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $174.86 / $1,989.02	Facility		$55.00	$174.86	$1,989.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $178.33 / $298.76 / $5,803.63	Professional		$178.33	$298.76	$5,803.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.59 / $261.02 / $380.74	Professional		$167.59	$261.02	$380.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $122.14 / $272.60 / $352.70	Facility		$122.14	$272.60	$352.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.57 / $278.24 / $353.29	Professional		$159.57	$278.24	$353.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.09 / $254.31 / $412.09	Professional		$41.09	$254.31	$412.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $193.97 / $244.23 / $266.52	Facility		$193.97	$244.23	$266.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.86 / $174.86 / $176.40	Facility		$174.86	$174.86	$176.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.65 / $292.95 / $350.62	Professional		$185.65	$292.95	$350.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $178.33 / $253.75 / $341.80	Professional		$178.33	$253.75	$341.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $36,803.00	Facility		$1,120.00	$3,323.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.08 / $236.84 / $372.44	Professional		$168.08	$236.84	$372.44