Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.71 / $3,925.18 / $18,711.00	Facility		$624.71	$3,925.18	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.43 / $397.83 / $827.51	Professional		$291.43	$397.83	$827.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $456.62 / $4,217.50	Facility		$55.00	$456.62	$4,217.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $480.28 / $842.45 / $2,949.08	Professional		$480.28	$842.45	$2,949.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.09 / $702.96 / $1,029.51	Professional		$412.09	$702.96	$1,029.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $392.57 / $670.62 / $835.31	Facility		$392.57	$670.62	$835.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $392.57 / $670.62 / $863.50	Professional		$392.57	$670.62	$863.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.57 / $265.11 / $747.87	Professional		$51.57	$265.11	$747.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $452.04 / $625.11 / $684.07	Facility		$452.04	$625.11	$684.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $456.62 / $456.62 / $466.60	Facility		$456.62	$456.62	$466.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.28 / $777.84 / $956.98	Professional		$480.28	$777.84	$956.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $465.70 / $671.20 / $904.10	Professional		$465.70	$671.20	$904.10
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $416.56 / $664.12 / $980.00	Professional		$416.56	$664.12	$980.00