Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.20 / $1,451.65 / $3,058.08	Facility		$438.20	$1,451.65	$3,058.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.32 / $438.20 / $452.18	Professional		$326.32	$438.20	$452.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $489.48 / $745.87 / $1,631.60	Facility		$489.48	$745.87	$1,631.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $460.85 / $954.89 / $3,496.28	Professional		$460.85	$954.89	$3,496.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $484.82 / $990.93 / $1,203.71	Facility		$484.82	$990.93	$1,203.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $419.55 / $466.17 / $1,165.42	Facility		$419.55	$466.17	$1,165.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $419.55 / $466.17 / $1,165.42	Professional		$419.55	$466.17	$1,165.42
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 $466.17 / $466.17 / $652.64	Facility		$466.17	$466.17	$652.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $466.17 / $815.80 / $1,398.51	Facility		$466.17	$815.80	$1,398.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $419.55 / $582.71 / $703.92	Professional		$419.55	$582.71	$703.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $489.48 / $745.87 / $1,281.97	Facility		$489.48	$745.87	$1,281.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $515.58 / $907.15 / $1,083.59	Professional		$515.58	$907.15	$1,083.59
United Facility/Professional Professional Modifier Low / Median / High Price $195.79 / $195.79 / $522.11	Professional		$195.79	$195.79	$522.11