Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.47 / $1,072.15 / $20,680.40	Facility		$464.47	$1,072.15	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.05 / $464.47 / $975.53	Professional		$325.05	$464.47	$975.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $565.34 / $4,217.50	Facility		$55.00	$565.34	$4,217.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $579.92 / $1,043.09 / $3,765.68	Professional		$579.92	$1,043.09	$3,765.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.02 / $862.55 / $1,265.16	Professional		$477.02	$862.55	$1,265.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $443.62 / $798.70 / $1,004.65	Facility		$443.62	$798.70	$1,004.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $484.24 / $802.12 / $1,025.57	Professional		$484.24	$802.12	$1,025.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.94 / $407.33 / $900.78	Professional		$69.94	$407.33	$900.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $519.89 / $728.96 / $850.23	Facility		$519.89	$728.96	$850.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $565.34 / $565.34 / $579.92	Facility		$565.34	$565.34	$579.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $596.94 / $964.64 / $1,189.43	Professional		$596.94	$964.64	$1,189.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $576.58 / $834.24 / $1,123.70	Professional		$576.58	$834.24	$1,123.70
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 $506.55 / $739.66 / $1,217.50	Professional		$506.55	$739.66	$1,217.50