Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $658.09 / $978.74 / $1,096.99	Professional		$658.09	$978.74	$1,096.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $1,244.83 / $3,256.04	Facility		$90.00	$1,244.83	$3,256.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $849.08 / $2,249.65 / $7,376.33	Professional		$849.08	$2,249.65	$7,376.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,008.72 / $1,008.72 / $1,068.06	Professional		$1,008.72	$1,008.72	$1,068.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,206.44 / $2,206.44 / $2,206.44	Professional		$2,206.44	$2,206.44	$2,206.44
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 $110.35 / $164.50 / $1,512.19	Facility		$110.35	$164.50	$1,512.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,244.83 / $1,244.83 / $1,244.83	Facility		$1,244.83	$1,244.83	$1,244.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,521.57 / $2,179.98 / $2,865.53	Professional		$1,521.57	$2,179.98	$2,865.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $798.14 / $1,269.58 / $2,182.73	Professional		$798.14	$1,269.58	$2,182.73
United Facility/Professional Professional Modifier Low / Median / High Price $60.89 / $1,414.95 / $2,715.71	Professional		$60.89	$1,414.95	$2,715.71