Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.35 / $2,112.17 / $3,343.88	Facility		$660.35	$2,112.17	$3,343.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.21 / $327.83 / $327.83	Professional		$248.21	$327.83	$327.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $491.75 / $749.33 / $1,639.16	Facility		$491.75	$749.33	$1,639.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $421.50 / $973.08 / $3,512.48	Professional		$421.50	$973.08	$3,512.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.06 / $995.51 / $1,209.27	Facility		$487.06	$995.51	$1,209.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $421.50 / $468.33 / $1,170.82	Facility		$421.50	$468.33	$1,170.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $421.50 / $468.33 / $1,170.82	Professional		$421.50	$468.33	$1,170.82
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 $421.50 / $515.16 / $819.58	Facility		$421.50	$515.16	$819.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $468.33 / $819.58 / $1,404.99	Facility		$468.33	$819.58	$1,404.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.50 / $585.41 / $707.18	Professional		$421.50	$585.41	$707.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $491.75 / $749.33 / $1,287.91	Facility		$491.75	$749.33	$1,287.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $517.97 / $911.18 / $1,089.02	Professional		$517.97	$911.18	$1,089.02
United Facility/Professional Professional Modifier Low / Median / High Price $196.70 / $196.70 / $524.53	Professional		$196.70	$196.70	$524.53