Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.85 / $703.37 / $1,223.83	Facility		$384.85	$703.37	$1,223.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.51 / $384.85 / $916.41	Professional		$269.51	$384.85	$916.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $963.29 / $4,021.72 / $7,697.50	Facility		$963.29	$4,021.72	$7,697.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $405.42 / $685.30 / $1,920.89	Professional		$405.42	$685.30	$1,920.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,688.11 / $2,686.06 / $6,631.74	Facility		$1,688.11	$2,686.06	$6,631.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.99 / $676.33 / $1,012.14	Professional		$398.99	$676.33	$1,012.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $336.35 / $762.31 / $5,739.12	Facility		$336.35	$762.31	$5,739.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $336.35 / $733.94 / $965.62	Professional		$336.35	$733.94	$965.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.21 / $321.22 / $637.87	Professional		$49.21	$321.22	$637.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $452.52 / $579.54 / $770.44	Facility		$452.52	$579.54	$770.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $395.31 / $395.31 / $402.72	Facility		$395.31	$395.31	$402.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.92 / $661.98 / $816.52	Professional		$446.92	$661.98	$816.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,517.57 / $3,926.74 / $7,652.44	Facility		$2,517.57	$3,926.74	$7,652.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $410.72 / $609.00 / $835.09	Professional		$410.72	$609.00	$835.09
United Facility/Professional Professional Modifier Low / Median / High Price $270.56 / $318.31 / $826.50	Professional		$270.56	$318.31	$826.50