Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.87 / $624.32 / $1,276.54	Facility		$342.87	$624.32	$1,276.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.20 / $342.87 / $796.97	Professional		$250.20	$342.87	$796.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $4,021.72 / $7,697.50	Facility		$1,334.00	$4,021.72	$7,697.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $354.37 / $595.50 / $1,700.31	Professional		$354.37	$595.50	$1,700.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $861.01 / $2,686.06 / $6,631.74	Facility		$861.01	$2,686.06	$6,631.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.97 / $591.05 / $872.12	Professional		$359.97	$591.05	$872.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $316.51 / $678.23 / $5,739.12	Facility		$316.51	$678.23	$5,739.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.51 / $658.78 / $843.75	Professional		$316.51	$658.78	$843.75
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 $399.78 / $497.81 / $677.28	Facility		$399.78	$497.81	$677.28
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $854.96 / $854.96 / $854.96	Professional		$854.96	$854.96	$854.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $339.55 / $339.55 / $356.06	Facility		$339.55	$339.55	$356.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.36 / $575.24 / $707.34	Professional		$388.36	$575.24	$707.34
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 $363.13 / $525.66 / $734.84	Professional		$363.13	$525.66	$734.84
United Facility/Professional Professional Modifier Low / Median / High Price $242.04 / $298.99 / $718.21	Professional		$242.04	$298.99	$718.21