Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.56 / $1,274.48 / $13,750.00	Facility		$212.56	$1,274.48	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.83 / $637.35 / $1,274.48	Professional		$167.83	$637.35	$1,274.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $422.10 / $792.44	Facility		$55.00	$422.10	$792.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $291.61 / $1,103.17 / $4,251.04	Professional		$291.61	$1,103.17	$4,251.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.54 / $954.84 / $1,786.85	Professional		$267.54	$954.84	$1,786.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $262.06 / $762.60 / $2,170.15	Facility		$262.06	$762.60	$2,170.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.76 / $762.60 / $2,169.46	Professional		$263.76	$762.60	$2,169.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.62 / $941.20 / $1,558.37	Professional		$153.62	$941.20	$1,558.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $341.70 / $1,138.94 / $1,397.64	Facility		$341.70	$1,138.94	$1,397.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $764.21 / $764.21 / $792.44	Facility		$764.21	$764.21	$792.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.22 / $561.51 / $1,409.38	Professional		$290.22	$561.51	$1,409.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $270.30 / $518.38 / $1,342.12	Professional		$270.30	$518.38	$1,342.12
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 $903.32 / $1,225.99 / $1,789.80	Professional		$903.32	$1,225.99	$1,789.80