Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.64 / $754.42 / $1,318.59	Facility		$417.64	$754.42	$1,318.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.55 / $417.64 / $982.92	Professional		$290.55	$417.64	$982.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $956.94 / $1,530.86 / $2,930.04	Facility		$956.94	$1,530.86	$2,930.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $435.59 / $742.01 / $2,065.29	Professional		$435.59	$742.01	$2,065.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $690.48 / $1,011.91 / $2,524.36	Facility		$690.48	$1,011.91	$2,524.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.48 / $732.44 / $1,088.25	Professional		$424.48	$732.44	$1,088.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $350.30 / $706.31 / $2,162.39	Facility		$350.30	$706.31	$2,162.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $350.30 / $716.38 / $1,013.27	Professional		$350.30	$716.38	$1,013.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.85 / $366.55 / $724.73	Professional		$49.85	$366.55	$724.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $462.56 / $597.26 / $683.93	Facility		$462.56	$597.26	$683.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $423.18 / $423.18 / $432.62	Facility		$423.18	$423.18	$432.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $483.91 / $716.72 / $880.29	Professional		$483.91	$716.72	$880.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $993.26 / $1,494.71 / $2,912.89	Facility		$993.26	$1,494.71	$2,912.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $441.21 / $640.79 / $914.18	Professional		$441.21	$640.79	$914.18
United Facility/Professional Professional Modifier Low / Median / High Price $242.80 / $335.18 / $858.83	Professional		$242.80	$335.18	$858.83