Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.37 / $949.94 / $3,536.59	Facility		$454.37	$949.94	$3,536.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.76 / $320.93 / $850.00	Professional		$221.76	$320.93	$850.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $641.85 / $1,024.34 / $2,246.48	Facility		$641.85	$1,024.34	$2,246.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $481.39 / $1,254.02 / $4,813.88	Professional		$481.39	$1,254.02	$4,813.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $667.52 / $1,072.52 / $1,668.80	Facility		$667.52	$1,072.52	$1,668.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.47 / $696.87 / $875.57	Professional		$324.47	$696.87	$875.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $633.33 / $811.35 / $1,985.10	Facility		$633.33	$811.35	$1,985.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $641.85 / $943.52 / $1,775.99	Professional		$641.85	$943.52	$1,775.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $571.25 / $628.37 / $1,727.54	Professional		$571.25	$628.37	$1,727.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $641.85 / $641.85 / $1,347.89	Facility		$641.85	$641.85	$1,347.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $577.66 / $1,105.91 / $1,925.55	Facility		$577.66	$1,105.91	$1,925.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $577.66 / $802.31 / $969.19	Professional		$577.66	$802.31	$969.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $673.94 / $1,053.28 / $1,765.09	Facility		$673.94	$1,053.28	$1,765.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $709.89 / $1,249.26 / $1,492.27	Professional		$709.89	$1,249.26	$1,492.27
United Facility/Professional Professional Modifier Low / Median / High Price $120.89 / $269.58 / $718.87	Professional		$120.89	$269.58	$718.87