Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.90 / $10,122.46 / $27,982.24	Facility		$410.90	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.51 / $410.90 / $591.76	Professional		$281.51	$410.90	$591.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,781.90	Facility		$55.00	$55.00	$2,781.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $457.84 / $879.30 / $4,701.01	Professional		$457.84	$879.30	$4,701.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.66 / $801.91 / $1,005.09	Professional		$593.66	$801.91	$1,005.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $279.62 / $518.65 / $746.40	Facility		$279.62	$518.65	$746.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.08 / $519.61 / $794.21	Professional		$300.08	$519.61	$794.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $159.25 / $227.50	Professional		$22.75	$159.25	$227.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $152.83 / $191.04 / $536.40	Facility		$152.83	$191.04	$536.40
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 / $831.84	Professional		$400.00	$400.00	$831.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $457.84 / $652.79 / $879.30	Professional		$457.84	$652.79	$879.30
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 $336.29 / $480.15 / $825.34	Professional		$336.29	$480.15	$825.34