Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.20 / $1,202.54 / $2,908.56	Facility		$496.20	$1,202.54	$2,908.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.62 / $496.20 / $781.25	Professional		$322.62	$496.20	$781.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $554.26 / $844.59 / $2,180.84	Facility		$554.26	$844.59	$2,180.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $448.69 / $1,031.55 / $3,959.03	Professional		$448.69	$1,031.55	$3,959.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $531.63 / $885.22 / $1,363.04	Facility		$531.63	$885.22	$1,363.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.02 / $591.86 / $747.29	Professional		$279.02	$591.86	$747.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $520.79 / $659.84 / $1,506.45	Facility		$520.79	$659.84	$1,506.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $527.87 / $775.97 / $1,461.42	Professional		$527.87	$775.97	$1,461.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $516.78 / $560.16	Professional		$75.00	$516.78	$560.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $527.87 / $527.87 / $1,108.53	Facility		$527.87	$527.87	$1,108.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $527.87 / $923.77 / $1,583.61	Facility		$527.87	$923.77	$1,583.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.08 / $659.84 / $797.08	Professional		$475.08	$659.84	$797.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $554.26 / $866.23 / $1,451.64	Facility		$554.26	$866.23	$1,451.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $583.82 / $1,027.02 / $1,227.56	Professional		$583.82	$1,027.02	$1,227.56
United Facility/Professional Facility Modifier Low / Median / High Price $319.35 / $319.35 / $319.35	Facility		$319.35	$319.35	$319.35
United Facility/Professional Professional Modifier Low / Median / High Price $221.71 / $221.71 / $591.21	Professional		$221.71	$221.71	$591.21