Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.80 / $828.41 / $2,865.20	Facility		$488.80	$828.41	$2,865.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.00 / $488.80 / $828.41	Professional		$364.00	$488.80	$828.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $546.00 / $832.00 / $2,148.33	Facility		$546.00	$832.00	$2,148.33
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $1,016.32 / $3,900.00	Professional		$468.00	$1,016.32	$3,900.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $540.79 / $1,152.92 / $1,353.18	Facility		$540.79	$1,152.92	$1,353.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.87 / $583.04 / $709.39	Professional		$274.87	$583.04	$709.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $513.04 / $650.00 / $1,484.03	Facility		$513.04	$650.00	$1,484.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $520.00 / $764.40 / $1,439.44	Professional		$520.00	$764.40	$1,439.44
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 $520.00 / $520.00 / $1,092.00	Facility		$520.00	$520.00	$1,092.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $910.00 / $1,560.00	Facility		$520.00	$910.00	$1,560.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $650.00 / $785.20	Professional		$468.00	$650.00	$785.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $546.00 / $853.32 / $1,430.00	Facility		$546.00	$853.32	$1,430.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $575.12 / $1,012.21 / $1,208.99	Professional		$575.12	$1,012.21	$1,208.99
United Facility/Professional Professional Modifier Low / Median / High Price $218.40 / $218.40 / $582.40	Professional		$218.40	$218.40	$582.40