Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.97 / $705.90 / $737.00	Facility		$310.97	$705.90	$737.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.33 / $310.97 / $364.39	Professional		$296.33	$310.97	$364.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $46.18 / $347.56 / $1,371.94	Facility		$46.18	$347.56	$1,371.94
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $347.56 / $347.56 / $1,646.33	Professional		$347.56	$347.56	$1,646.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.97 / $310.97 / $621.94	Facility		$310.97	$310.97	$621.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.97 / $310.97 / $310.97	Professional		$310.97	$310.97	$310.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $411.66 / $802.67 / $1,490.26	Facility		$411.66	$802.67	$1,490.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $411.66 / $831.06 / $1,241.25	Professional		$411.66	$831.06	$1,241.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $382.31	Professional		$75.00	$75.00	$382.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $347.56 / $347.56 / $819.41	Facility		$347.56	$347.56	$819.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $347.56 / $347.56 / $347.56	Facility		$347.56	$347.56	$347.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.56 / $347.56 / $347.56	Professional		$347.56	$347.56	$347.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.94 / $187.11 / $730.03	Facility		$36.94	$187.11	$730.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $330.18 / $347.56 / $347.56	Professional		$330.18	$347.56	$347.56
United Facility/Professional Professional Modifier Low / Median / High Price $304.88 / $304.88 / $365.86	Professional		$304.88	$304.88	$365.86