Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.12 / $909.28 / $2,175.46	Facility		$402.12	$909.28	$2,175.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.34 / $377.99 / $784.13	Professional		$253.34	$377.99	$784.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $422.23 / $703.71 / $1,661.32	Facility		$422.23	$703.71	$1,661.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $361.91 / $747.81 / $3,015.90	Professional		$361.91	$747.81	$3,015.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.59 / $729.28 / $1,176.21	Facility		$162.59	$729.28	$1,176.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.95 / $451.80 / $548.57	Professional		$250.95	$451.80	$548.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $402.12 / $591.61 / $1,376.25	Facility		$402.12	$591.61	$1,376.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $402.12 / $711.00 / $1,243.75	Professional		$402.12	$711.00	$1,243.75
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 $402.12 / $402.12 / $844.45	Facility		$402.12	$402.12	$844.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $402.12 / $703.71 / $1,206.35	Facility		$402.12	$703.71	$1,206.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $361.91 / $502.65 / $607.20	Professional		$361.91	$502.65	$607.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $422.23 / $663.50 / $1,105.83	Facility		$422.23	$663.50	$1,105.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $468.87 / $782.55 / $934.99	Professional		$468.87	$782.55	$934.99
United Facility/Professional Professional Modifier Low / Median / High Price $168.89 / $230.07 / $450.37	Professional		$168.89	$230.07	$450.37