Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.98 / $911.68 / $1,248.94	Facility		$526.98	$911.68	$1,248.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.18 / $526.98 / $533.17	Professional		$502.18	$526.98	$533.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $424.53 / $588.98 / $2,224.80	Facility		$424.53	$588.98	$2,224.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $559.53 / $588.98 / $2,669.76	Professional		$559.53	$588.98	$2,669.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.98 / $526.98 / $12,168.12	Facility		$526.98	$526.98	$12,168.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.98 / $526.98 / $526.98	Professional		$526.98	$526.98	$526.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,153.84 / $1,835.95 / $3,564.38	Facility		$1,153.84	$1,835.95	$3,564.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $577.51 / $577.51 / $577.51	Professional		$577.51	$577.51	$577.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $647.87	Professional		$50.00	$50.00	$647.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.98 / $588.98 / $588.98	Facility		$588.98	$588.98	$588.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.98 / $588.98 / $588.98	Professional		$588.98	$588.98	$588.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $389.55 / $428.51 / $969.98	Facility		$389.55	$428.51	$969.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $559.53 / $588.98 / $588.98	Professional		$559.53	$588.98	$588.98
United Facility/Professional Professional Modifier Low / Median / High Price $516.65 / $516.65 / $619.98	Professional		$516.65	$516.65	$619.98