Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.30 / $228.30 / $228.30	Facility		$228.30	$228.30	$228.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.05 / $228.30 / $269.23	Professional		$203.05	$228.30	$269.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,517.57 / $4,024.02 / $7,697.50	Facility		$2,517.57	$4,024.02	$7,697.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $280.43 / $440.56 / $1,499.93	Professional		$280.43	$440.56	$1,499.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,688.11 / $1,688.11 / $1,688.11	Facility		$1,688.11	$1,688.11	$1,688.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.94 / $273.94 / $273.94	Professional		$273.94	$273.94	$273.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,334.62 / $1,544.13 / $10,421.29	Facility		$1,334.62	$1,544.13	$10,421.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $613.26 / $1,480.42 / $2,031.00	Professional		$613.26	$1,480.42	$2,031.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $65.00	Professional		$45.00	$50.00	$65.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $296.70 / $1,060.65 / $1,480.96	Facility		$296.70	$1,060.65	$1,480.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.10 / $238.10 / $274.97	Facility		$238.10	$238.10	$274.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.70 / $432.49 / $510.29	Professional		$296.70	$432.49	$510.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,609.40 / $4,024.02 / $7,697.50	Facility		$2,609.40	$4,024.02	$7,697.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $280.43 / $365.40 / $467.96	Professional		$280.43	$365.40	$467.96
United Facility/Professional Professional Modifier Low / Median / High Price $185.73 / $229.23 / $529.57	Professional		$185.73	$229.23	$529.57