Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.02 / $509.45 / $20,680.40	Facility		$248.02	$509.45	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.05 / $247.14 / $444.03	Professional		$152.05	$247.14	$444.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $251.81 / $564.00 / $837.16	Facility		$251.81	$564.00	$837.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $256.87 / $435.52 / $1,613.33	Professional		$256.87	$435.52	$1,613.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $373.56 / $545.90	Professional		$260.20	$373.56	$545.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $185.38 / $396.55 / $471.22	Facility		$185.38	$396.55	$471.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $233.21 / $399.30 / $500.12	Professional		$233.21	$399.30	$500.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.06 / $306.91 / $498.28	Professional		$50.06	$306.91	$498.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $259.69 / $350.00 / $369.17	Facility		$259.69	$350.00	$369.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.81 / $251.81 / $251.87	Facility		$251.81	$251.81	$251.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.19 / $417.73 / $499.97	Professional		$259.19	$417.73	$499.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $256.87 / $362.23 / $487.91	Professional		$256.87	$362.23	$487.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $36,803.00	Facility		$1,120.00	$3,323.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.58 / $340.38 / $556.96	Professional		$230.58	$340.38	$556.96