Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $439.92 / $1,066.15 / $2,578.67	Facility		$439.92	$1,066.15	$2,578.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.80 / $1,353.74 / $1,500.00	Professional		$280.80	$1,353.74	$1,500.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $491.40 / $748.80 / $2,223.00	Facility		$491.40	$748.80	$2,223.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $439.92 / $914.36 / $3,510.00	Professional		$439.92	$914.36	$3,510.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $486.72 / $994.83 / $1,208.43	Facility		$486.72	$994.83	$1,208.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.63 / $494.71 / $662.62	Professional		$223.63	$494.71	$662.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $468.00 / $585.00 / $1,602.18	Facility		$468.00	$585.00	$1,602.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $795.60 / $1,447.95	Professional		$468.00	$795.60	$1,447.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $468.00 / $468.00 / $702.00	Facility		$468.00	$468.00	$702.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $468.00 / $819.00 / $1,404.00	Facility		$468.00	$819.00	$1,404.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.20 / $585.00 / $706.68	Professional		$421.20	$585.00	$706.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $491.40 / $748.80 / $1,287.00	Facility		$491.40	$748.80	$1,287.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $517.61 / $910.51 / $1,088.24	Professional		$517.61	$910.51	$1,088.24
United Facility/Professional Professional Modifier Low / Median / High Price $196.56 / $196.56 / $524.16	Professional		$196.56	$196.56	$524.16