Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.63 / $678.27 / $20,680.40	Facility		$289.63	$678.27	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.73 / $289.63 / $616.83	Professional		$230.73	$289.63	$616.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $310.31 / $2,358.63	Facility		$55.00	$310.31	$2,358.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $316.88 / $539.44 / $2,003.93	Professional		$316.88	$539.44	$2,003.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.57 / $455.56 / $674.90	Professional		$309.57	$455.56	$674.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $249.55 / $499.50 / $707.57	Facility		$249.55	$499.50	$707.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $286.47 / $499.50 / $707.57	Professional		$286.47	$499.50	$707.57
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 $333.34 / $433.05 / $465.12	Facility		$333.34	$433.05	$465.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $310.31 / $310.31 / $312.13	Facility		$310.31	$310.31	$312.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.37 / $517.41 / $619.54	Professional		$328.37	$517.41	$619.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $316.47 / $449.01 / $604.79	Professional		$316.47	$449.01	$604.79
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 $297.83 / $420.98 / $656.53	Professional		$297.83	$420.98	$656.53