Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.54 / $1,876.81 / $3,953.71	Facility		$566.54	$1,876.81	$3,953.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.89 / $566.54 / $584.62	Professional		$421.89	$566.54	$584.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $632.84 / $964.32 / $2,109.44	Facility		$632.84	$964.32	$2,109.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $542.42 / $1,253.21 / $4,520.25	Professional		$542.42	$1,253.21	$4,520.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.82 / $1,281.17 / $1,556.27	Facility		$626.82	$1,281.17	$1,556.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $542.42 / $602.70 / $1,506.75	Facility		$542.42	$602.70	$1,506.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $542.42 / $602.70 / $1,506.75	Professional		$542.42	$602.70	$1,506.75
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 $602.70 / $602.70 / $843.78	Facility		$602.70	$602.70	$843.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.70 / $1,054.73 / $1,808.10	Facility		$602.70	$1,054.73	$1,808.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $542.42 / $753.38 / $910.08	Professional		$542.42	$753.38	$910.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $632.84 / $964.32 / $1,657.43	Facility		$632.84	$964.32	$1,657.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $666.59 / $1,112.58 / $1,476.57	Professional		$666.59	$1,112.58	$1,476.57
United Facility/Professional Professional Modifier Low / Median / High Price $253.13 / $253.13 / $675.02	Professional		$253.13	$253.13	$675.02