Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.58 / $1,005.70 / $2,118.62	Facility		$303.58	$1,005.70	$2,118.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.46 / $303.58 / $313.27	Professional		$203.46	$303.58	$313.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $339.11 / $516.74 / $1,334.28	Facility		$339.11	$516.74	$1,334.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $305.02 / $671.24 / $2,422.19	Professional		$305.02	$671.24	$2,422.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.25 / $661.25 / $833.91	Facility		$325.25	$661.25	$833.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $290.66 / $322.95 / $549.03	Facility		$290.66	$322.95	$549.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $290.66 / $322.95 / $807.40	Professional		$290.66	$322.95	$807.40
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 $290.66 / $355.26 / $565.17	Facility		$290.66	$355.26	$565.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $322.95 / $565.17 / $1,001.18	Facility		$322.95	$565.17	$1,001.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.66 / $403.70 / $487.67	Professional		$290.66	$403.70	$487.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $339.11 / $529.98 / $888.14	Facility		$339.11	$529.98	$888.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $357.19 / $628.33 / $750.78	Professional		$357.19	$628.33	$750.78
United Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $150.72 / $361.72	Professional		$135.63	$150.72	$361.72