Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.77 / $857.58 / $1,979.71	Facility		$391.77	$857.58	$1,979.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.89 / $391.77 / $572.36	Professional		$220.89	$391.77	$572.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $437.62 / $729.37 / $1,721.88	Facility		$437.62	$729.37	$1,721.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $375.10 / $853.52 / $3,125.85	Professional		$375.10	$853.52	$3,125.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.67 / $755.88 / $1,219.09	Facility		$221.67	$755.88	$1,219.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.05 / $467.40 / $601.72	Professional		$260.05	$467.40	$601.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $650.25 / $1,289.50	Facility		$416.78	$650.25	$1,289.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $746.08 / $1,289.50	Professional		$416.78	$746.08	$1,289.50
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 $416.78 / $416.78 / $875.24	Facility		$416.78	$416.78	$875.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $729.37 / $1,250.33	Facility		$416.78	$729.37	$1,250.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.10 / $520.97 / $629.34	Professional		$375.10	$520.97	$629.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $437.62 / $687.69 / $1,146.15	Facility		$437.62	$687.69	$1,146.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $485.96 / $810.84 / $969.05	Professional		$485.96	$810.84	$969.05
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $238.22 / $466.79	Professional		$175.05	$238.22	$466.79