Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.86 / $1,404.13 / $2,957.97	Facility		$423.86	$1,404.13	$2,957.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.64 / $423.86 / $437.38	Professional		$315.64	$423.86	$437.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $473.46 / $721.46 / $1,862.89	Facility		$473.46	$721.46	$1,862.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $405.82 / $936.83 / $3,381.83	Professional		$405.82	$936.83	$3,381.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.94 / $958.49 / $1,164.30	Facility		$468.94	$958.49	$1,164.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $405.82 / $450.91 / $2,272.14	Facility		$405.82	$450.91	$2,272.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $405.82 / $450.91 / $1,127.28	Professional		$405.82	$450.91	$1,127.28
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 $405.82 / $496.00 / $789.09	Facility		$405.82	$496.00	$789.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.91 / $789.09 / $1,352.73	Facility		$450.91	$789.09	$1,352.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.82 / $563.64 / $680.87	Professional		$405.82	$563.64	$680.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $473.46 / $739.94 / $1,240.00	Facility		$473.46	$739.94	$1,240.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $498.71 / $877.52 / $1,048.77	Professional		$498.71	$877.52	$1,048.77
United Facility/Professional Professional Modifier Low / Median / High Price $189.38 / $189.38 / $505.02	Professional		$189.38	$189.38	$505.02