Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.62 / $1,330.49 / $2,802.83	Facility		$401.62	$1,330.49	$2,802.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.45 / $401.62 / $401.62	Professional		$226.45	$401.62	$401.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $448.62 / $683.62 / $1,765.18	Facility		$448.62	$683.62	$1,765.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $384.53 / $887.52 / $3,204.45	Professional		$384.53	$887.52	$3,204.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.35 / $908.23 / $1,103.24	Facility		$444.35	$908.23	$1,103.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $384.53 / $427.26 / $726.34	Facility		$384.53	$427.26	$726.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $384.53 / $427.26 / $1,068.15	Professional		$384.53	$427.26	$1,068.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $384.53 / $469.99 / $747.71	Facility		$384.53	$469.99	$747.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $427.26 / $747.70 / $1,324.51	Facility		$427.26	$747.70	$1,324.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.53 / $534.08 / $645.16	Professional		$384.53	$534.08	$645.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $448.62 / $683.62 / $1,174.97	Facility		$448.62	$683.62	$1,174.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $472.55 / $831.72 / $993.82	Professional		$472.55	$831.72	$993.82
United Facility/Professional Professional Modifier Low / Median / High Price $179.45 / $179.45 / $478.53	Professional		$179.45	$179.45	$478.53