Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.35 / $1,515.09 / $3,191.70	Facility		$457.35	$1,515.09	$3,191.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.58 / $457.35 / $471.94	Professional		$340.58	$457.35	$471.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $510.87 / $778.46 / $1,702.89	Facility		$510.87	$778.46	$1,702.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $437.89 / $1,011.70 / $3,649.05	Professional		$437.89	$1,011.70	$3,649.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $1,034.23 / $1,256.30	Facility		$506.00	$1,034.23	$1,256.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $437.89 / $486.54 / $1,216.34	Facility		$437.89	$486.54	$1,216.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $437.89 / $486.54 / $1,216.34	Professional		$437.89	$486.54	$1,216.34
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 $486.54 / $486.54 / $851.45	Facility		$486.54	$486.54	$851.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $486.54 / $851.45 / $1,459.62	Facility		$486.54	$851.45	$1,459.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.89 / $608.17 / $734.68	Professional		$437.89	$608.17	$734.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $510.87 / $778.46 / $1,337.99	Facility		$510.87	$778.46	$1,337.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $538.11 / $898.07 / $1,191.88	Professional		$538.11	$898.07	$1,191.88
United Facility/Professional Facility Modifier Low / Median / High Price $486.54 / $583.85 / $583.85	Facility		$486.54	$583.85	$583.85
United Facility/Professional Professional Modifier Low / Median / High Price $204.35 / $204.35 / $544.91	Professional		$204.35	$204.35	$544.91