Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.41 / $737.82 / $14,464.32	Facility		$160.41	$737.82	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $232.20 / $537.33	Professional		$82.67	$232.20	$537.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $341.38 / $462.65	Facility		$55.00	$341.38	$462.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $142.69 / $457.09 / $1,830.88	Professional		$142.69	$457.09	$1,830.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $328.51 / $755.95	Professional		$137.72	$328.51	$755.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $134.74 / $244.90 / $695.59	Facility		$134.74	$244.90	$695.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.44 / $254.22 / $695.59	Professional		$135.44	$254.22	$695.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.71 / $368.42 / $611.84	Professional		$60.71	$368.42	$611.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $168.17 / $477.60 / $551.41	Facility		$168.17	$477.60	$551.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $341.38 / $341.38 / $355.61	Facility		$341.38	$341.38	$355.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.41 / $289.08 / $625.76	Professional		$149.41	$289.08	$625.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $132.99 / $266.89 / $578.17	Professional		$132.99	$266.89	$578.17
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 $345.66 / $505.05 / $790.09	Professional		$345.66	$505.05	$790.09