Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $554.16 / $979.39 / $1,712.59	Facility		$554.16	$979.39	$1,712.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.04 / $554.16 / $1,276.03	Professional		$385.04	$554.16	$1,276.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,458.76 / $4,021.72 / $7,697.50	Facility		$2,458.76	$4,021.72	$7,697.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $556.16 / $956.99 / $2,725.60	Professional		$556.16	$956.99	$2,725.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,042.35 / $2,686.06 / $6,631.74	Facility		$1,042.35	$2,686.06	$6,631.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $559.79 / $963.53 / $1,431.21	Professional		$559.79	$963.53	$1,431.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $468.10 / $1,002.43 / $5,739.12	Facility		$468.10	$1,002.43	$5,739.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $468.10 / $991.26 / $1,354.01	Professional		$468.10	$991.26	$1,354.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.85 / $500.38 / $983.02	Professional		$49.85	$500.38	$983.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $614.46 / $784.53 / $932.23	Facility		$614.46	$784.53	$932.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $556.16 / $556.16 / $570.78	Facility		$556.16	$556.16	$570.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $638.53 / $941.96 / $1,158.58	Professional		$638.53	$941.96	$1,158.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,533.52 / $3,926.74 / $7,652.44	Facility		$2,533.52	$3,926.74	$7,652.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $582.12 / $842.16 / $1,220.44	Professional		$582.12	$842.16	$1,220.44
United Facility/Professional Professional Modifier Low / Median / High Price $368.59 / $483.36 / $1,180.85	Professional		$368.59	$483.36	$1,180.85