Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.06 / $1,136.77 / $2,749.49	Facility		$469.06	$1,136.77	$2,749.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.06 / $512.41 / $1,000.00	Professional		$469.06	$512.41	$1,000.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $523.95 / $873.25 / $3,120.21	Facility		$523.95	$873.25	$3,120.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $449.10 / $1,036.89 / $3,742.50	Professional		$449.10	$1,036.89	$3,742.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $518.96 / $1,145.28 / $1,783.75	Facility		$518.96	$1,145.28	$1,783.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.80 / $559.54 / $706.48	Professional		$263.80	$559.54	$706.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $492.28 / $623.75 / $1,423.95	Facility		$492.28	$623.75	$1,423.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $499.00 / $733.53 / $1,380.31	Professional		$499.00	$733.53	$1,380.31
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 $499.00 / $499.00 / $1,047.90	Facility		$499.00	$499.00	$1,047.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $499.00 / $898.20 / $1,497.00	Facility		$499.00	$898.20	$1,497.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.10 / $623.75 / $753.49	Professional		$449.10	$623.75	$753.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $523.95 / $818.86 / $1,372.25	Facility		$523.95	$818.86	$1,372.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $551.89 / $971.12 / $1,160.23	Professional		$551.89	$971.12	$1,160.23
United Facility/Professional Professional Modifier Low / Median / High Price $209.58 / $209.58 / $558.88	Professional		$209.58	$209.58	$558.88