Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.76 / $1,893.84 / $3,989.59	Facility		$577.76	$1,893.84	$3,989.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.15 / $571.67 / $589.91	Professional		$383.15	$571.67	$589.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $638.58 / $973.07 / $2,128.60	Facility		$638.58	$973.07	$2,128.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $547.35 / $1,499.05 / $4,561.28	Professional		$547.35	$1,499.05	$4,561.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.50 / $1,292.78 / $1,570.37	Facility		$632.50	$1,292.78	$1,570.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $547.35 / $608.16 / $1,520.42	Facility		$547.35	$608.16	$1,520.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $547.35 / $608.16 / $1,520.42	Professional		$547.35	$608.16	$1,520.42
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 $608.16 / $608.16 / $851.44	Facility		$608.16	$608.16	$851.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $608.16 / $1,058.22 / $1,824.51	Facility		$608.16	$1,058.22	$1,824.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $547.35 / $760.21 / $918.34	Professional		$547.35	$760.21	$918.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $638.58 / $973.07 / $1,672.47	Facility		$638.58	$973.07	$1,672.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $672.64 / $1,188.42 / $1,489.85	Professional		$672.64	$1,188.42	$1,489.85
United Facility/Professional Facility Modifier Low / Median / High Price $608.16 / $729.80 / $729.80	Facility		$608.16	$729.80	$729.80
United Facility/Professional Professional Modifier Low / Median / High Price $255.43 / $255.43 / $681.15	Professional		$255.43	$255.43	$681.15