Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.14 / $1,606.15 / $2,542.77	Facility		$502.14	$1,606.15	$2,542.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.75 / $249.29 / $355.00	Professional		$188.75	$249.29	$355.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $373.94 / $569.80 / $1,246.46	Facility		$373.94	$569.80	$1,246.46
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $352.06 / $729.46 / $2,670.98	Professional		$352.06	$729.46	$2,670.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.37 / $757.01 / $919.55	Facility		$370.37	$757.01	$919.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $320.52 / $356.13 / $890.32	Facility		$320.52	$356.13	$890.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $320.52 / $356.13 / $890.32	Professional		$320.52	$356.13	$890.32
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 $320.52 / $391.74 / $623.23	Facility		$320.52	$391.74	$623.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $356.13 / $623.23 / $1,068.39	Facility		$356.13	$623.23	$1,068.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.52 / $445.16 / $537.76	Professional		$320.52	$445.16	$537.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $373.94 / $569.80 / $979.36	Facility		$373.94	$569.80	$979.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $393.88 / $692.99 / $828.18	Professional		$393.88	$692.99	$828.18
United Facility/Professional Professional Modifier Low / Median / High Price $149.57 / $149.57 / $398.87	Professional		$149.57	$149.57	$398.87