Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.20 / $10,122.46 / $27,982.24	Facility		$247.20	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.49 / $247.20 / $548.57	Professional		$246.49	$247.20	$548.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,572.30	Facility		$55.00	$55.00	$1,572.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $272.12 / $492.39 / $5,262.26	Professional		$272.12	$492.39	$5,262.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.14 / $433.55 / $600.11	Professional		$319.14	$433.55	$600.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $224.68 / $390.77 / $491.93	Facility		$224.68	$390.77	$491.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $228.75 / $390.77 / $498.68	Professional		$228.75	$390.77	$498.68
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 / $496.76	Professional		$400.00	$400.00	$496.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $272.12 / $389.84 / $525.10	Professional		$272.12	$389.84	$525.10
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 $228.32 / $423.66 / $570.79	Professional		$228.32	$423.66	$570.79