Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $3,000.00	Professional		$3,000.00	$3,000.00	$3,000.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $164.79 / $257.51 / $498.19	Facility		$164.79	$257.51	$498.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $49.30 / $83.68 / $371.55	Professional		$49.30	$83.68	$371.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.09 / $308.42 / $374.65	Facility		$115.09	$308.42	$374.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $82.61 / $257.33 / $755.88	Facility		$82.61	$257.33	$755.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.00 / $69.05 / $96.07	Facility		$39.00	$69.05	$96.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.17 / $48.17 / $70.43	Facility		$48.17	$48.17	$70.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $190.85 / $257.51 / $492.60	Facility		$190.85	$257.51	$492.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $44.36 / $44.36	Professional		$44.36	$44.36	$44.36