Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.33 / $364.52 / $14,464.32	Facility		$112.33	$364.52	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.55 / $153.81 / $355.41	Professional		$59.55	$153.81	$355.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $701.16 / $701.16	Facility		$55.00	$701.16	$701.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $109.08 / $292.83 / $1,903.64	Professional		$109.08	$292.83	$1,903.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.72 / $169.62 / $442.34	Professional		$75.72	$169.62	$442.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $82.44 / $155.19 / $343.39	Facility		$82.44	$155.19	$343.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $158.88 / $360.80	Professional		$86.40	$158.88	$360.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $217.23 / $364.69	Professional		$36.31	$217.23	$364.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.54 / $271.89 / $307.52	Facility		$162.54	$271.89	$307.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.76 / $209.76 / $216.08	Facility		$209.76	$209.76	$216.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.44 / $209.76 / $411.68	Professional		$107.44	$209.76	$411.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $109.08 / $204.41 / $355.27	Professional		$109.08	$204.41	$355.27
United Facility/Professional Facility Modifier Low / Median / High Price $414.00 / $666.00 / $6,216.00	Facility		$414.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.01 / $230.26 / $445.55	Professional		$128.01	$230.26	$445.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.64 / $63.64 / $169.40	Professional		$63.64	$63.64	$169.40