Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.00 / $517.64 / $1,653.00	Facility		$282.00	$517.64	$1,653.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $282.00 / $472.86	Professional		$189.00	$282.00	$472.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $315.00 / $480.00 / $1,239.42	Facility		$315.00	$480.00	$1,239.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $585.96 / $2,250.00	Professional		$270.00	$585.96	$2,250.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.74 / $483.60 / $780.00	Facility		$163.74	$483.60	$780.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.16 / $317.11 / $409.19	Professional		$153.16	$317.11	$409.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $296.05 / $378.90 / $927.72	Facility		$296.05	$378.90	$927.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $441.00 / $830.01	Professional		$300.00	$441.00	$830.01
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 $300.00 / $300.00 / $630.00	Facility		$300.00	$300.00	$630.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $525.00 / $900.00	Facility		$300.00	$525.00	$900.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $375.00 / $453.00	Professional		$270.00	$375.00	$453.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $315.00 / $492.30 / $825.00	Facility		$315.00	$492.30	$825.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $331.80 / $583.89 / $697.37	Professional		$331.80	$583.89	$697.37
United Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $138.38 / $336.00	Professional		$126.00	$138.38	$336.00