Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.47 / $1,837.51 / $2,909.05	Facility		$574.47	$1,837.51	$2,909.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.72 / $115.86 / $115.86	Professional		$87.72	$115.86	$115.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $427.80 / $651.89 / $1,426.01	Facility		$427.80	$651.89	$1,426.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $366.69 / $846.92 / $3,055.73	Professional		$366.69	$846.92	$3,055.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $423.73 / $866.07 / $1,052.04	Facility		$423.73	$866.07	$1,052.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $366.69 / $407.43 / $1,018.58	Facility		$366.69	$407.43	$1,018.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.69 / $407.43 / $1,018.58	Professional		$366.69	$407.43	$1,018.58
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 $366.69 / $448.17 / $713.00	Facility		$366.69	$448.17	$713.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.43 / $713.00 / $1,222.29	Facility		$407.43	$713.00	$1,222.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.69 / $509.29 / $615.22	Professional		$366.69	$509.29	$615.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $427.80 / $651.89 / $1,120.43	Facility		$427.80	$651.89	$1,120.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $450.62 / $792.66 / $947.38	Professional		$450.62	$792.66	$947.38
United Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $69.51 / $407.43	Professional		$69.51	$69.51	$407.43