Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.97 / $991.13 / $2,397.23	Facility		$408.97	$991.13	$2,397.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.97 / $408.97 / $643.90	Professional		$408.97	$408.97	$643.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $456.82 / $696.11 / $1,797.45	Facility		$456.82	$696.11	$1,797.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $369.81 / $850.14 / $3,263.03	Professional		$369.81	$850.14	$3,263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.94 / $701.34 / $1,123.42	Facility		$64.94	$701.34	$1,123.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.04 / $487.96 / $593.69	Professional		$230.04	$487.96	$593.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $429.66 / $543.84 / $1,242.82	Facility		$429.66	$543.84	$1,242.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $435.07 / $639.54 / $1,203.70	Professional		$435.07	$639.54	$1,203.70
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 $435.07 / $435.07 / $913.65	Facility		$435.07	$435.07	$913.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $391.56 / $761.37 / $1,305.21	Facility		$391.56	$761.37	$1,305.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.56 / $543.84 / $656.96	Professional		$391.56	$543.84	$656.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $456.82 / $713.95 / $1,196.44	Facility		$456.82	$713.95	$1,196.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $481.19 / $846.54 / $1,011.62	Professional		$481.19	$846.54	$1,011.62
United Facility/Professional Professional Modifier Low / Median / High Price $182.73 / $182.73 / $487.28	Professional		$182.73	$182.73	$487.28