Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.18 / $1,180.69 / $2,855.72	Facility		$487.18	$1,180.69	$2,855.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.80 / $487.18 / $518.28	Professional		$362.80	$487.18	$518.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $544.19 / $829.25 / $2,141.21	Facility		$544.19	$829.25	$2,141.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $466.45 / $1,059.46 / $3,887.10	Professional		$466.45	$1,059.46	$3,887.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $539.01 / $1,101.70 / $1,338.26	Facility		$539.01	$1,101.70	$1,338.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.65 / $563.40 / $757.49	Professional		$255.65	$563.40	$757.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $518.28 / $647.85 / $1,774.68	Facility		$518.28	$647.85	$1,774.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $518.28 / $881.08 / $1,603.82	Professional		$518.28	$881.08	$1,603.82
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 $518.28 / $544.19 / $777.42	Facility		$518.28	$544.19	$777.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $518.28 / $906.99 / $1,554.84	Facility		$518.28	$906.99	$1,554.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.45 / $647.85 / $782.60	Professional		$466.45	$647.85	$782.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $544.19 / $829.25 / $1,425.27	Facility		$544.19	$829.25	$1,425.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $573.22 / $1,008.83 / $1,205.11	Professional		$573.22	$1,008.83	$1,205.11
United Facility/Professional Professional Modifier Low / Median / High Price $217.68 / $217.68 / $580.47	Professional		$217.68	$217.68	$580.47