Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.45 / $4,497.00 / $20,680.40	Facility		$85.45	$4,497.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.45 / $159.15 / $236.25	Professional		$85.45	$159.15	$236.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $524.23 / $1,128.49 / $2,159.90	Facility		$524.23	$1,128.49	$2,159.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $188.82 / $405.71 / $1,416.78	Professional		$188.82	$405.71	$1,416.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.49 / $173.49 / $173.49	Professional		$173.49	$173.49	$173.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $190.75 / $318.50 / $706.87	Facility		$190.75	$318.50	$706.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $189.42 / $313.89 / $646.54	Professional		$189.42	$313.89	$646.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $334.56 / $546.83	Professional		$52.00	$334.56	$546.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $208.59 / $384.12 / $464.98	Facility		$208.59	$384.12	$464.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $298.52 / $298.52 / $299.33	Facility		$298.52	$298.52	$299.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.93 / $299.33 / $548.69	Professional		$187.93	$299.33	$548.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $823.91 / $1,128.49 / $2,159.90	Facility		$823.91	$1,128.49	$2,159.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $175.01 / $304.45 / $506.97	Professional		$175.01	$304.45	$506.97
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 $305.36 / $475.15 / $667.55	Professional		$305.36	$475.15	$667.55