Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.29 / $804.78 / $20,680.40	Facility		$352.29	$804.78	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.02 / $352.29 / $731.88	Professional		$262.02	$352.29	$731.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $377.80 / $1,300.00	Facility		$55.00	$377.80	$1,300.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $392.31 / $661.61 / $14,851.23	Professional		$392.31	$661.61	$14,851.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.13 / $565.09 / $822.38	Professional		$366.13	$565.09	$822.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $266.91 / $595.95 / $723.77	Facility		$266.91	$595.95	$723.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $348.85 / $606.25 / $758.94	Professional		$348.85	$606.25	$758.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.03 / $412.80 / $672.98	Professional		$67.03	$412.80	$672.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $415.57 / $527.50 / $567.12	Facility		$415.57	$527.50	$567.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $377.80 / $377.80 / $381.14	Facility		$377.80	$377.80	$381.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.50 / $634.59 / $759.52	Professional		$399.50	$634.59	$759.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $385.31 / $548.27 / $738.51	Professional		$385.31	$548.27	$738.51
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 $352.58 / $497.40 / $820.70	Professional		$352.58	$497.40	$820.70