Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.39 / $1,733.00 / $14,464.32	Facility		$249.39	$1,733.00	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.55 / $444.38 / $1,115.60	Professional		$166.55	$444.38	$1,115.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $652.14 / $774.87	Facility		$55.00	$652.14	$774.87
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $246.16 / $876.89 / $3,523.92	Professional		$246.16	$876.89	$3,523.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.78 / $675.29 / $1,455.91	Professional		$234.78	$675.29	$1,455.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $222.00 / $464.38 / $1,485.92	Facility		$222.00	$464.38	$1,485.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.54 / $464.38 / $1,536.72	Professional		$235.54	$464.38	$1,536.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $121.77 / $773.51 / $1,271.18	Professional		$121.77	$773.51	$1,271.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $273.76 / $932.08 / $1,192.59	Facility		$273.76	$932.08	$1,192.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $652.14 / $652.14 / $669.99	Facility		$652.14	$652.14	$669.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.33 / $451.43 / $1,294.43	Professional		$233.33	$451.43	$1,294.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.63 / $439.52 / $1,126.50	Professional		$218.63	$439.52	$1,126.50
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $747.59 / $1,067.99 / $1,695.06	Professional		$747.59	$1,067.99	$1,695.06