Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.76 / $1,733.00 / $22,024.00	Facility		$11.76	$1,733.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $75.06 / $165.96	Professional		$11.76	$75.06	$165.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $167.26 / $197.04 / $197.04	Facility		$167.26	$197.04	$197.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $187.54 / $813.12	Professional		$22.00	$187.54	$813.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.09 / $88.09 / $88.09	Professional		$88.09	$88.09	$88.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $34.86 / $91.76 / $244.94	Facility		$34.86	$91.76	$244.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $91.76 / $295.91	Professional		$34.36	$91.76	$295.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $150.94 / $271.77	Professional		$27.45	$150.94	$271.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $97.64 / $192.44 / $245.22	Facility		$97.64	$192.44	$245.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.26 / $167.26 / $170.78	Facility		$167.26	$167.26	$170.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $59.40 / $306.60	Professional		$23.16	$59.40	$306.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.79 / $49.45 / $277.98	Professional		$20.79	$49.45	$277.98
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.45 / $152.29 / $353.40	Professional		$120.45	$152.29	$353.40