Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.00 / $622.79 / $1,312.00	Facility		$188.00	$622.79	$1,312.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $188.00 / $194.00	Professional		$128.00	$188.00	$194.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $320.00 / $950.00	Facility		$210.00	$320.00	$950.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $415.48 / $1,500.00	Professional		$180.00	$415.48	$1,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.00 / $425.14 / $516.42	Facility		$208.00	$425.14	$516.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $200.00 / $340.00	Facility		$180.00	$200.00	$340.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $200.00 / $500.00	Professional		$180.00	$200.00	$500.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $220.00 / $350.00	Facility		$180.00	$220.00	$350.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $350.00 / $620.00	Facility		$200.00	$350.00	$620.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $250.00 / $302.00	Professional		$180.00	$250.00	$302.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $320.00 / $550.00	Facility		$210.00	$320.00	$550.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $221.20 / $389.25 / $465.17	Professional		$221.20	$389.25	$465.17
United Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $84.00 / $224.00	Professional		$84.00	$84.00	$224.00