Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.71 / $1,380.47 / $3,165.23	Facility		$416.71	$1,380.47	$3,165.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.29 / $416.71 / $430.01	Professional		$279.29	$416.71	$430.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $465.48 / $727.47 / $2,105.71	Facility		$465.48	$727.47	$2,105.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $398.98 / $1,252.75 / $3,324.83	Professional		$398.98	$1,252.75	$3,324.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $461.04 / $942.34 / $1,144.68	Facility		$461.04	$942.34	$1,144.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $398.98 / $443.31 / $753.63	Facility		$398.98	$443.31	$753.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.98 / $443.31 / $1,108.28	Professional		$398.98	$443.31	$1,108.28
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 $443.31 / $443.31 / $620.63	Facility		$443.31	$443.31	$620.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $443.31 / $775.79 / $1,329.93	Facility		$443.31	$775.79	$1,329.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.98 / $554.14 / $669.40	Professional		$398.98	$554.14	$669.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $465.48 / $731.46 / $1,219.09	Facility		$465.48	$731.46	$1,219.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $490.30 / $866.44 / $1,030.97	Professional		$490.30	$866.44	$1,030.97
United Facility/Professional Professional Modifier Low / Median / High Price $186.19 / $186.19 / $496.51	Professional		$186.19	$186.19	$496.51