Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.39 / $10,596.56 / $22,024.00	Facility		$268.39	$10,596.56	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.80 / $268.39 / $301.77	Professional		$239.80	$268.39	$301.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $324.98 / $396.99 / $857.93	Facility		$324.98	$396.99	$857.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $370.98 / $676.35 / $2,279.63	Professional		$370.98	$676.35	$2,279.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $734.00 / $734.00	Facility		$734.00	$734.00	$734.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.65 / $410.65 / $410.65	Professional		$410.65	$410.65	$410.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $798.97 / $798.97 / $798.97	Professional		$798.97	$798.97	$798.97
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 $343.33 / $502.04 / $523.27	Facility		$343.33	$502.04	$523.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $353.79 / $353.79 / $356.92	Facility		$353.79	$353.79	$356.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.98 / $594.26 / $711.26	Professional		$370.98	$594.26	$711.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $324.98 / $389.97 / $740.94	Facility		$324.98	$389.97	$740.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $445.17 / $513.42 / $676.35	Professional		$445.17	$513.42	$676.35
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,050.00 / $5,793.00	Facility		$500.00	$1,050.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $335.83 / $437.36 / $749.76	Professional		$335.83	$437.36	$749.76