Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.83 / $787.24 / $2,027.81	Facility		$324.83	$787.24	$2,027.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.90 / $324.83 / $673.86	Professional		$241.90	$324.83	$673.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $362.85 / $604.75 / $1,427.69	Facility		$362.85	$604.75	$1,427.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $324.83 / $675.34 / $2,591.78	Professional		$324.83	$675.34	$2,591.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.39 / $766.18 / $1,109.24	Facility		$359.39	$766.18	$1,109.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.64 / $388.04 / $471.29	Professional		$215.64	$388.04	$471.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $345.57 / $508.43 / $1,182.18	Facility		$345.57	$508.43	$1,182.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.57 / $611.10 / $1,068.38	Professional		$345.57	$611.10	$1,068.38
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 $345.57 / $345.57 / $725.70	Facility		$345.57	$345.57	$725.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $345.57 / $604.75 / $1,036.71	Facility		$345.57	$604.75	$1,036.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.01 / $431.96 / $521.80	Professional		$311.01	$431.96	$521.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $362.85 / $570.19 / $950.32	Facility		$362.85	$570.19	$950.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $402.93 / $672.78 / $803.41	Professional		$402.93	$672.78	$803.41
United Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $145.13 / $387.04	Professional		$145.13	$145.13	$387.04