Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.59 / $288.57 / $20,680.40	Facility		$120.59	$288.57	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.29 / $120.59 / $262.43	Professional		$86.29	$120.59	$262.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $149.94 / $908.60 / $1,739.05	Facility		$149.94	$908.60	$1,739.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $155.24 / $277.11 / $1,001.33	Professional		$155.24	$277.11	$1,001.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.40 / $226.29 / $330.72	Professional		$143.40	$226.29	$330.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $136.65 / $238.28 / $910.16	Facility		$136.65	$238.28	$910.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.65 / $233.45 / $303.43	Professional		$136.65	$233.45	$303.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $208.07 / $343.04	Professional		$32.38	$208.07	$343.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $143.57 / $198.71 / $225.12	Facility		$143.57	$198.71	$225.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.94 / $149.94 / $153.55	Facility		$149.94	$149.94	$153.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.05 / $256.13 / $314.93	Professional		$158.05	$256.13	$314.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $663.37 / $908.60 / $1,739.05	Facility		$663.37	$908.60	$1,739.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $152.91 / $220.88 / $297.52	Professional		$152.91	$220.88	$297.52
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 $142.05 / $236.20 / $324.70	Professional		$142.05	$236.20	$324.70