Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.95 / $651.20 / $2,424.40	Facility		$278.95	$651.20	$2,424.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.38 / $298.50 / $651.20	Professional		$123.38	$298.50	$651.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $440.00 / $690.80 / $1,817.82	Facility		$440.00	$690.80	$1,817.82
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $290.39 / $859.41 / $3,300.00	Professional		$290.39	$859.41	$3,300.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.90 / $709.28 / $1,136.14	Facility		$398.90	$709.28	$1,136.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.38 / $465.28 / $600.39	Professional		$222.38	$465.28	$600.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $434.00 / $555.75 / $1,361.52	Facility		$434.00	$555.75	$1,361.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $440.00 / $646.79 / $1,218.09	Professional		$440.00	$646.79	$1,218.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $391.60 / $430.76 / $1,184.27	Professional		$391.60	$430.76	$1,184.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $440.00 / $440.00 / $924.00	Facility		$440.00	$440.00	$924.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $396.00 / $704.00 / $1,320.00	Facility		$396.00	$704.00	$1,320.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $550.00 / $664.40	Professional		$396.00	$550.00	$664.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $722.04 / $1,210.00	Facility		$462.00	$722.04	$1,210.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $486.64 / $855.96 / $1,023.23	Professional		$486.64	$855.96	$1,023.23
United Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $184.80 / $492.80	Professional		$74.20	$184.80	$492.80