Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.48 / $626.39 / $1,090.94	Facility		$348.48	$626.39	$1,090.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.23 / $348.48 / $816.12	Professional		$256.23	$348.48	$816.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $737.25 / $1,168.14 / $2,235.80	Facility		$737.25	$1,168.14	$2,235.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $356.56 / $608.89 / $1,730.06	Professional		$356.56	$608.89	$1,730.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $513.41 / $780.44 / $1,926.24	Facility		$513.41	$780.44	$1,926.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.75 / $595.91 / $887.88	Professional		$349.75	$595.91	$887.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $290.16 / $655.59 / $1,678.39	Facility		$290.16	$655.59	$1,678.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $290.16 / $643.49 / $839.31	Professional		$290.16	$643.49	$839.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $289.70 / $605.14	Professional		$47.24	$289.70	$605.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $402.62 / $507.60 / $605.88	Facility		$402.62	$507.60	$605.88
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $270.14 / $270.14 / $270.14	Professional		$270.14	$270.14	$270.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.41 / $346.41 / $362.40	Facility		$346.41	$346.41	$362.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $397.09 / $588.17 / $721.62	Professional		$397.09	$588.17	$721.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $737.25 / $1,140.56 / $2,222.71	Facility		$737.25	$1,140.56	$2,222.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $369.60 / $536.29 / $759.67	Professional		$369.60	$536.29	$759.67
United Facility/Professional Professional Modifier Low / Median / High Price $247.86 / $304.64 / $775.78	Professional		$247.86	$304.64	$775.78