Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.37 / $597.30 / $2,647.55	Facility		$379.37	$597.30	$2,647.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.53 / $379.37 / $597.30	Professional		$221.53	$379.37	$597.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $423.77 / $645.74 / $1,917.05	Facility		$423.77	$645.74	$1,917.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $282.51 / $750.33 / $3,026.93	Professional		$282.51	$750.33	$3,026.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.81 / $773.43 / $1,042.10	Facility		$411.81	$773.43	$1,042.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.00 / $426.85 / $550.79	Professional		$204.00	$426.85	$550.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $398.35 / $509.85 / $1,248.82	Facility		$398.35	$509.85	$1,248.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $403.59 / $593.28 / $1,117.29	Professional		$403.59	$593.28	$1,117.29
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 $403.59 / $403.59 / $847.54	Facility		$403.59	$403.59	$847.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $403.59 / $706.28 / $1,210.77	Facility		$403.59	$706.28	$1,210.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.23 / $504.49 / $609.41	Professional		$363.23	$504.49	$609.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $423.77 / $662.29 / $1,109.86	Facility		$423.77	$662.29	$1,109.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $446.37 / $785.25 / $938.09	Professional		$446.37	$785.25	$938.09
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $169.51 / $452.02	Professional		$126.57	$169.51	$452.02