Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.80 / $1,037.40 / $3,222.80	Facility		$549.80	$1,037.40	$3,222.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.49 / $549.80 / $865.65	Professional		$368.49	$549.80	$865.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $614.15 / $935.84 / $2,416.46	Facility		$614.15	$935.84	$2,416.46
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $1,195.97 / $4,386.75	Professional		$584.90	$1,195.97	$4,386.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $608.29 / $1,243.33 / $1,877.48	Facility		$608.29	$1,243.33	$1,877.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.35 / $655.75 / $797.84	Professional		$345.35	$655.75	$797.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $912.60 / $1,918.28	Facility		$584.90	$912.60	$1,918.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $1,034.55 / $1,808.88	Professional		$584.90	$1,034.55	$1,808.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $572.61 / $620.67	Professional		$75.00	$572.61	$620.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $584.90 / $877.35	Facility		$584.90	$584.90	$877.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $1,023.57 / $1,754.70	Facility		$584.90	$1,023.57	$1,754.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $731.13 / $883.20	Professional		$526.41	$731.13	$883.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $614.15 / $965.09 / $1,608.48	Facility		$614.15	$965.09	$1,608.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $646.90 / $1,138.14 / $1,359.92	Professional		$646.90	$1,138.14	$1,359.92
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $303.27 / $655.09	Professional		$245.66	$303.27	$655.09