Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.52 / $10,122.46 / $27,982.24	Facility		$273.52	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.81 / $273.52 / $1,376.18	Professional		$272.81	$273.52	$1,376.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,394.10	Facility		$55.00	$55.00	$1,394.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $284.58 / $543.65 / $5,262.26	Professional		$284.58	$543.65	$5,262.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.19 / $475.92 / $666.07	Professional		$354.19	$475.92	$666.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $224.68 / $414.06 / $501.80	Facility		$224.68	$414.06	$501.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $249.61 / $414.06 / $518.61	Professional		$249.61	$414.06	$518.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $152.79 / $218.28	Professional		$21.82	$152.79	$218.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $146.46 / $183.07 / $198.44	Facility		$146.46	$183.07	$198.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $400.00 / $400.00	Facility		$400.00	$400.00	$400.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $551.21	Professional		$400.00	$400.00	$551.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $284.58 / $432.57 / $582.66	Professional		$284.58	$432.57	$582.66
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $2,446.00 / $36,803.00	Facility		$703.00	$2,446.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.14 / $437.52 / $596.16	Professional		$236.14	$437.52	$596.16