Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $674.80 / $1,113.43 / $1,599.30	Facility		$674.80	$1,113.43	$1,599.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $658.92 / $674.81 / $1,167.42	Professional		$658.92	$674.81	$1,167.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $264.00 / $754.20 / $2,977.09	Facility		$264.00	$754.20	$2,977.09
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $678.78 / $754.20 / $3,572.51	Professional		$678.78	$754.20	$3,572.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $674.81 / $674.81 / $1,349.62	Facility		$674.81	$674.81	$1,349.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $674.81 / $674.81 / $674.81	Professional		$674.81	$674.81	$674.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $519.16 / $519.16 / $519.16	Professional		$519.16	$519.16	$519.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $296.69 / $570.57	Professional		$50.00	$296.69	$570.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $535.57 / $535.57 / $79,999.20	Facility		$535.57	$535.57	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $754.20 / $754.20 / $754.20	Facility		$754.20	$754.20	$754.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $754.20 / $754.20 / $754.20	Professional		$754.20	$754.20	$754.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $264.00 / $754.20	Facility		$240.00	$264.00	$754.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $716.49 / $754.20 / $754.20	Professional		$716.49	$754.20	$754.20
United Facility/Professional Professional Modifier Low / Median / High Price $661.57 / $661.57 / $793.88	Professional		$661.57	$661.57	$793.88