Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.74 / $1,168.53 / $2,461.64	Facility		$352.74	$1,168.53	$2,461.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.41 / $352.74 / $363.99	Professional		$236.41	$352.74	$363.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $394.01 / $600.40 / $1,313.38	Facility		$394.01	$600.40	$1,313.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $337.73 / $768.45 / $2,814.38	Professional		$337.73	$768.45	$2,814.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.26 / $797.66 / $968.93	Facility		$390.26	$797.66	$968.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $337.72 / $375.25 / $938.12	Facility		$337.72	$375.25	$938.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $337.72 / $375.25 / $938.12	Professional		$337.72	$375.25	$938.12
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 $375.25 / $375.25 / $525.35	Facility		$375.25	$375.25	$525.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $375.25 / $656.69 / $1,125.75	Facility		$375.25	$656.69	$1,125.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.73 / $469.06 / $566.63	Professional		$337.73	$469.06	$566.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $394.01 / $600.40 / $1,031.94	Facility		$394.01	$600.40	$1,031.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $415.03 / $730.03 / $872.30	Professional		$415.03	$730.03	$872.30
United Facility/Professional Professional Modifier Low / Median / High Price $157.61 / $157.61 / $420.28	Professional		$157.61	$157.61	$420.28