Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.77 / $452.06 / $20,680.40	Facility		$193.77	$452.06	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.85 / $193.77 / $411.11	Professional		$157.85	$193.77	$411.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $213.82 / $2,260.00	Facility		$55.00	$213.82	$2,260.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $218.06 / $362.23 / $2,622.00	Professional		$218.06	$362.23	$2,622.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.83 / $314.89 / $459.13	Professional		$205.83	$314.89	$459.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $196.07 / $335.96 / $431.31	Facility		$196.07	$335.96	$431.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $196.07 / $334.95 / $431.31	Professional		$196.07	$334.95	$431.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.05 / $254.26 / $412.09	Professional		$41.05	$254.26	$412.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $227.72 / $294.77 / $319.58	Facility		$227.72	$294.77	$319.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.82 / $213.82 / $213.88	Facility		$213.82	$213.82	$213.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.51 / $355.34 / $425.30	Professional		$225.51	$355.34	$425.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,965.22 / $4,965.22 / $6,255.42	Facility		$4,965.22	$4,965.22	$6,255.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.06 / $307.67 / $414.41	Professional		$218.06	$307.67	$414.41
United Facility/Professional Facility Modifier Low / Median / High Price $497.00 / $1,078.00 / $6,216.00	Facility		$497.00	$1,078.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.92 / $262.08 / $450.88	Professional		$205.92	$262.08	$450.88