Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $679.82 / $2,174.44 / $3,442.48	Facility		$679.82	$2,174.44	$3,442.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.87 / $145.12 / $145.12	Professional		$109.87	$145.12	$145.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $506.25 / $771.42 / $1,687.49	Facility		$506.25	$771.42	$1,687.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $433.93 / $987.50 / $3,616.05	Professional		$433.93	$987.50	$3,616.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.57 / $783.48 / $1,244.94	Facility		$485.57	$783.48	$1,244.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $433.93 / $482.14 / $1,205.34	Facility		$433.93	$482.14	$1,205.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $433.93 / $482.14 / $1,205.34	Professional		$433.93	$482.14	$1,205.34
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 $433.93 / $506.25 / $723.21	Facility		$433.93	$506.25	$723.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $482.14 / $843.75 / $1,446.42	Facility		$482.14	$843.75	$1,446.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.93 / $602.67 / $728.03	Professional		$433.93	$602.67	$728.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $506.25 / $771.42 / $1,325.89	Facility		$506.25	$771.42	$1,325.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $533.25 / $938.13 / $1,120.75	Professional		$533.25	$938.13	$1,120.75
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $87.07 / $540.00	Professional		$87.07	$87.07	$540.00