Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.25 / $598.69 / $2,228.91	Facility		$380.25	$598.69	$2,228.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.28 / $380.25 / $598.69	Professional		$229.28	$380.25	$598.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $424.75 / $647.23 / $1,671.23	Facility		$424.75	$647.23	$1,671.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $356.58 / $790.55 / $3,033.90	Professional		$356.58	$790.55	$3,033.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.70 / $859.89 / $1,051.76	Facility		$420.70	$859.89	$1,051.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.54 / $427.54 / $551.70	Professional		$204.54	$427.54	$551.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $399.28 / $511.20 / $1,251.38	Facility		$399.28	$511.20	$1,251.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $404.52 / $594.64 / $1,119.56	Professional		$404.52	$594.64	$1,119.56
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 $404.52 / $404.52 / $849.49	Facility		$404.52	$404.52	$849.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $404.52 / $647.23 / $1,213.56	Facility		$404.52	$647.23	$1,213.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.07 / $505.65 / $610.83	Professional		$364.07	$505.65	$610.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $424.75 / $663.82 / $1,112.43	Facility		$424.75	$663.82	$1,112.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $447.40 / $787.27 / $940.41	Professional		$447.40	$787.27	$940.41
United Facility/Professional Professional Modifier Low / Median / High Price $137.91 / $169.90 / $453.06	Professional		$137.91	$169.90	$453.06