Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.25 / $1,241.83 / $1,966.00	Facility		$388.25	$1,241.83	$1,966.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.44 / $245.44 / $245.44	Professional		$245.44	$245.44	$245.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $289.12 / $440.56 / $1,307.91	Facility		$289.12	$440.56	$1,307.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $247.82 / $572.10 / $2,065.13	Professional		$247.82	$572.10	$2,065.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.37 / $585.32 / $711.00	Facility		$286.37	$585.32	$711.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $247.82 / $275.35 / $468.10	Facility		$247.82	$275.35	$468.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.82 / $275.35 / $688.38	Professional		$247.82	$275.35	$688.38
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 $247.82 / $302.89 / $481.86	Facility		$247.82	$302.89	$481.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.35 / $481.86 / $853.59	Facility		$275.35	$481.86	$853.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.82 / $344.19 / $415.78	Professional		$247.82	$344.19	$415.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $289.12 / $440.56 / $757.21	Facility		$289.12	$440.56	$757.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $304.54 / $536.07 / $640.10	Professional		$304.54	$536.07	$640.10
United Facility/Professional Professional Modifier Low / Median / High Price $115.65 / $115.65 / $302.89	Professional		$115.65	$115.65	$302.89