Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.80 / $1,821.38 / $3,836.94	Facility		$549.80	$1,821.38	$3,836.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.49 / $549.80 / $567.35	Professional		$368.49	$549.80	$567.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $614.15 / $935.84 / $2,416.46	Facility		$614.15	$935.84	$2,416.46
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $1,215.27 / $4,386.75	Professional		$526.41	$1,215.27	$4,386.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $608.29 / $1,243.33 / $1,510.30	Facility		$608.29	$1,243.33	$1,510.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $526.41 / $584.90 / $2,947.31	Facility		$526.41	$584.90	$2,947.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $584.90 / $1,462.25	Professional		$526.41	$584.90	$1,462.25
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 $526.41 / $643.39 / $1,023.58	Facility		$526.41	$643.39	$1,023.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $1,023.57 / $1,754.70	Facility		$584.90	$1,023.57	$1,754.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $731.13 / $883.20	Professional		$526.41	$731.13	$883.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $614.15 / $959.82 / $1,608.48	Facility		$614.15	$959.82	$1,608.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $646.90 / $1,138.14 / $1,359.92	Professional		$646.90	$1,138.14	$1,359.92
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $245.66 / $655.09	Professional		$245.66	$245.66	$655.09