Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.35 / $1,710.00 / $14,464.32	Facility		$258.35	$1,710.00	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.86 / $466.41 / $817.22	Professional		$142.86	$466.41	$817.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $594.55 / $713.64	Facility		$55.00	$594.55	$713.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $244.84 / $827.70 / $3,194.32	Professional		$244.84	$827.70	$3,194.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.85 / $715.54 / $1,339.04	Professional		$225.85	$715.54	$1,339.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $228.35 / $558.62 / $1,589.39	Facility		$228.35	$558.62	$1,589.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $228.35 / $558.62 / $1,589.18	Professional		$228.35	$558.62	$1,589.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $110.12 / $677.31 / $1,115.18	Professional		$110.12	$677.31	$1,115.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $273.77 / $832.01 / $1,049.89	Facility		$273.77	$832.01	$1,049.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $594.55 / $594.55 / $616.08	Facility		$594.55	$594.55	$616.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.67 / $471.45 / $1,089.84	Professional		$243.67	$471.45	$1,089.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $230.02 / $435.24 / $1,006.97	Professional		$230.02	$435.24	$1,006.97
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 $689.48 / $957.76 / $1,373.72	Professional		$689.48	$957.76	$1,373.72