Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.69 / $1,125.31 / $2,580.17	Facility		$339.69	$1,125.31	$2,580.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.66 / $339.69 / $350.53	Professional		$227.66	$339.69	$350.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $379.44 / $593.01 / $1,716.51	Facility		$379.44	$593.01	$1,716.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $325.23 / $1,021.38 / $2,710.28	Professional		$325.23	$1,021.38	$2,710.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.82 / $768.16 / $933.10	Facility		$375.82	$768.16	$933.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $325.23 / $361.37 / $614.33	Facility		$325.23	$361.37	$614.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $325.23 / $361.37 / $903.42	Professional		$325.23	$361.37	$903.42
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 $361.37 / $361.37 / $505.92	Facility		$361.37	$361.37	$505.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $361.37 / $632.40 / $1,120.25	Facility		$361.37	$632.40	$1,120.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.23 / $451.71 / $545.66	Professional		$325.23	$451.71	$545.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $379.44 / $596.26 / $993.77	Facility		$379.44	$596.26	$993.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $399.68 / $706.42 / $840.56	Professional		$399.68	$706.42	$840.56
United Facility/Professional Professional Modifier Low / Median / High Price $151.78 / $151.78 / $404.73	Professional		$151.78	$151.78	$404.73