Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.86 / $753.02 / $2,484.51	Facility		$423.86	$753.02	$2,484.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.46 / $423.86 / $708.35	Professional		$225.46	$423.86	$708.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $450.91 / $721.46 / $1,578.19	Facility		$450.91	$721.46	$1,578.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $405.82 / $838.53 / $3,381.83	Professional		$405.82	$838.53	$3,381.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.16 / $726.86 / $1,172.35	Facility		$281.16	$726.86	$1,172.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.77 / $476.70 / $615.13	Professional		$228.77	$476.70	$615.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $445.16 / $570.15 / $1,394.55	Facility		$445.16	$570.15	$1,394.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $450.91 / $662.84 / $1,247.66	Professional		$450.91	$662.84	$1,247.66
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 $450.91 / $450.91 / $946.91	Facility		$450.91	$450.91	$946.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $405.82 / $784.58 / $1,352.73	Facility		$405.82	$784.58	$1,352.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.82 / $563.64 / $680.87	Professional		$405.82	$563.64	$680.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $473.46 / $739.94 / $1,240.00	Facility		$473.46	$739.94	$1,240.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $498.71 / $877.52 / $1,048.77	Professional		$498.71	$877.52	$1,048.77
United Facility/Professional Professional Modifier Low / Median / High Price $189.38 / $189.38 / $505.02	Professional		$189.38	$189.38	$505.02