Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.13 / $692.40 / $47,511.60	Facility		$311.13	$692.40	$47,511.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.82 / $311.13 / $366.03	Professional		$292.82	$311.13	$366.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $290.44 / $443.31 / $1,016.54	Facility		$290.44	$443.31	$1,016.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $314.79 / $347.73 / $1,584.63	Professional		$314.79	$347.73	$1,584.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.25 / $296.25 / $311.13	Facility		$296.25	$296.25	$311.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.13 / $311.13 / $311.13	Professional		$311.13	$311.13	$311.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $282.27 / $768.06 / $2,303.51	Facility		$282.27	$768.06	$2,303.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $311.38 / $311.38 / $347.73	Professional		$311.38	$311.38	$347.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $334.53 / $334.53 / $79,999.20	Facility		$334.53	$334.53	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $261.39 / $464.70 / $813.23	Facility		$261.39	$464.70	$813.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $334.53 / $334.53 / $334.53	Professional		$334.53	$334.53	$334.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $289.98 / $362.48 / $658.02	Facility		$289.98	$362.48	$658.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $330.34 / $347.73 / $347.73	Professional		$330.34	$347.73	$347.73
United Facility/Professional Professional Modifier Low / Median / High Price $305.02 / $305.02 / $366.02	Professional		$305.02	$305.02	$366.02