Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.34 / $1,052.39 / $2,692.52	Facility		$459.34	$1,052.39	$2,692.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.12 / $459.34 / $778.48	Professional		$378.12	$459.34	$778.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $513.09 / $855.16 / $2,087.23	Facility		$513.09	$855.16	$2,087.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $439.79 / $1,038.60 / $4,017.97	Professional		$439.79	$1,038.60	$4,017.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.24 / $886.21 / $1,429.34	Facility		$338.24	$886.21	$1,429.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.00 / $547.79 / $718.19	Professional		$305.00	$547.79	$718.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $488.66 / $718.33 / $1,511.48	Facility		$488.66	$718.33	$1,511.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $488.66 / $862.58 / $1,511.48	Professional		$488.66	$862.58	$1,511.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $478.40 / $518.55	Professional		$75.00	$478.40	$518.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $488.66 / $488.66 / $1,038.33	Facility		$488.66	$488.66	$1,038.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $488.66 / $855.16 / $1,465.98	Facility		$488.66	$855.16	$1,465.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.79 / $439.79 / $439.79	Professional		$439.79	$439.79	$439.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $513.09 / $806.29 / $1,343.82	Facility		$513.09	$806.29	$1,343.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $569.76 / $950.92 / $1,136.23	Professional		$569.76	$950.92	$1,136.23
United Facility/Professional Professional Modifier Low / Median / High Price $205.24 / $279.57 / $547.29	Professional		$205.24	$279.57	$547.29