Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.17 / $209.92 / $20,680.40	Facility		$87.17	$209.92	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $87.17 / $190.90	Professional		$65.90	$87.17	$190.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $91.05 / $1,300.00	Facility		$55.00	$91.05	$1,300.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $92.86 / $159.44 / $641.54	Professional		$92.86	$159.44	$641.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $139.93 / $203.32	Professional		$88.05	$139.93	$203.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $66.34 / $143.55 / $174.33	Facility		$66.34	$143.55	$174.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.03 / $143.91 / $186.51	Professional		$84.03	$143.91	$186.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.22 / $106.29 / $174.13	Professional		$17.22	$106.29	$174.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $103.20 / $131.80 / $142.71	Facility		$103.20	$131.80	$142.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.05 / $91.05 / $91.86	Facility		$91.05	$91.05	$91.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.06 / $152.94 / $183.05	Professional		$97.06	$152.94	$183.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $92.86 / $132.13 / $177.99	Professional		$92.86	$132.13	$177.99
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 $84.71 / $118.21 / $194.06	Professional		$84.71	$118.21	$194.06