Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.68 / $4,500.00 / $22,024.00	Facility		$201.68	$4,500.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.15 / $201.68 / $280.91	Professional		$146.15	$201.68	$280.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $213.36 / $725.08	Facility		$55.00	$213.36	$725.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $217.60 / $365.72 / $1,383.98	Professional		$217.60	$365.72	$1,383.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.12 / $315.08 / $467.31	Professional		$214.12	$315.08	$467.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $193.95 / $338.18 / $415.87	Facility		$193.95	$338.18	$415.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.16 / $337.90 / $415.87	Professional		$208.16	$337.90	$415.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.51 / $251.47 / $381.89	Professional		$40.51	$251.47	$381.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $207.46 / $299.43 / $316.24	Facility		$207.46	$299.43	$316.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.36 / $213.36 / $215.70	Facility		$213.36	$213.36	$215.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.03 / $351.54 / $428.15	Professional		$222.03	$351.54	$428.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $217.60 / $307.27 / $417.96	Professional		$217.60	$307.27	$417.96
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 $205.83 / $309.39 / $456.97	Professional		$205.83	$309.39	$456.97