Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.92 / $592.92 / $592.92	Facility		$592.92	$592.92	$592.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.67 / $568.80 / $592.92	Professional		$388.67	$568.80	$592.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $582.11 / $708.09 / $1,936.16	Facility		$582.11	$708.09	$1,936.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $599.28 / $1,067.38 / $5,676.00	Professional		$599.28	$1,067.38	$5,676.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $785.72 / $1,087.13 / $1,370.28	Professional		$785.72	$1,087.13	$1,370.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $485.15 / $913.16 / $1,183.00	Facility		$485.15	$913.16	$1,183.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $523.70 / $944.38 / $1,213.23	Professional		$523.70	$944.38	$1,213.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $96.00 / $702.89 / $867.65	Facility		$96.00	$702.89	$867.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $582.11 / $582.11 / $591.82	Facility		$582.11	$582.11	$591.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $609.16 / $978.52 / $1,174.69	Professional		$609.16	$978.52	$1,174.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $593.66 / $851.33 / $1,146.72	Professional		$593.66	$851.33	$1,146.72
United Facility/Professional Professional Modifier Low / Median / High Price $536.79 / $817.39 / $1,241.64	Professional		$536.79	$817.39	$1,241.64