Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.27 / $406.34 / $599.79	Professional		$42.27	$406.34	$599.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $829.90 / $1,252.31	Facility		$90.00	$829.90	$1,252.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $127.53 / $920.63 / $3,919.21	Professional		$127.53	$920.63	$3,919.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.86 / $126.56 / $420.70	Professional		$90.86	$126.56	$420.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $115.16 / $207.45 / $499.13	Facility		$115.16	$207.45	$499.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $869.04 / $869.04 / $869.04	Professional		$869.04	$869.04	$869.04
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 $117.94 / $168.48 / $595.63	Facility		$117.94	$168.48	$595.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $829.90 / $829.90 / $829.90	Facility		$829.90	$829.90	$829.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.53 / $964.36 / $1,526.97	Professional		$127.53	$964.36	$1,526.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $167.17 / $758.61 / $1,006.79	Professional		$167.17	$758.61	$1,006.79
United Facility/Professional Professional Modifier Low / Median / High Price $54.72 / $77.76 / $1,152.34	Professional		$54.72	$77.76	$1,152.34