Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.86 / $353.62 / $20,680.40	Facility		$150.86	$353.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.14 / $150.86 / $321.58	Professional		$111.14	$150.86	$321.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $168.97 / $1,300.00	Facility		$55.00	$168.97	$1,300.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $178.29 / $305.00 / $1,150.20	Professional		$178.29	$305.00	$1,150.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.55 / $251.93 / $369.39	Professional		$163.55	$251.93	$369.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $149.24 / $255.98 / $323.14	Facility		$149.24	$255.98	$323.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $255.98 / $323.14	Professional		$155.75	$255.98	$323.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.37 / $207.66 / $343.04	Professional		$32.37	$207.66	$343.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $182.41 / $234.07 / $253.26	Facility		$182.41	$234.07	$253.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.97 / $168.97 / $172.75	Facility		$168.97	$168.97	$172.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.29 / $286.10 / $354.30	Professional		$178.29	$286.10	$354.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $172.33 / $248.50 / $334.72	Professional		$172.33	$248.50	$334.72
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 $159.80 / $271.58 / $381.46	Professional		$159.80	$271.58	$381.46