Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.63 / $979.00 / $1,938.03	Facility		$413.63	$979.00	$1,938.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.89 / $391.77 / $689.50	Professional		$220.89	$391.77	$689.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $437.62 / $666.85 / $1,979.71	Facility		$437.62	$666.85	$1,979.71
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 $433.46 / $885.96 / $1,337.84	Facility		$433.46	$885.96	$1,337.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.05 / $467.40 / $638.90	Professional		$260.05	$467.40	$638.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $613.25 / $1,289.50	Facility		$416.78	$613.25	$1,289.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $737.10 / $1,290.74	Professional		$416.78	$737.10	$1,290.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $408.02 / $442.27	Professional		$75.00	$408.02	$442.27
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 $375.10 / $416.78 / $1,054.95	Facility		$375.10	$416.78	$1,054.95
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 / $240.62 / $466.79	Professional		$175.05	$240.62	$466.79