Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.63 / $665.49 / $20,680.40	Facility		$289.63	$665.49	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.60 / $289.63 / $646.51	Professional		$217.60	$289.63	$646.51
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 / $538.29 / $2,003.93	Professional		$316.88	$538.29	$2,003.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.50 / $455.56 / $674.90	Professional		$310.50	$455.56	$674.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $235.29 / $500.98 / $664.18	Facility		$235.29	$500.98	$664.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $287.31 / $500.98 / $664.61	Professional		$287.31	$500.98	$664.61
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 / $460.96	Facility		$333.34	$433.05	$460.96
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 $323.36 / $517.41 / $619.54	Professional		$323.36	$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 $298.76 / $474.71 / $672.21	Professional		$298.76	$474.71	$672.21