Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.74 / $535.39 / $20,680.40	Facility		$227.74	$535.39	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.57 / $227.74 / $486.89	Professional		$181.57	$227.74	$486.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $244.95 / $1,852.92	Facility		$55.00	$244.95	$1,852.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $250.24 / $426.00 / $1,569.68	Professional		$250.24	$426.00	$1,569.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.95 / $359.65 / $530.21	Professional		$243.95	$359.65	$530.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $208.01 / $393.83 / $589.91	Facility		$208.01	$393.83	$589.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $225.78 / $393.83 / $589.91	Professional		$225.78	$393.83	$589.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.52 / $305.33 / $493.50	Professional		$49.52	$305.33	$493.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $263.08 / $341.41 / $367.88	Facility		$263.08	$341.41	$367.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.95 / $244.95 / $245.07	Facility		$244.95	$244.95	$245.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.32 / $408.60 / $489.05	Professional		$259.32	$408.60	$489.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $249.94 / $352.36 / $474.63	Professional		$249.94	$352.36	$474.63
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 $235.84 / $334.67 / $518.46	Professional		$235.84	$334.67	$518.46