Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $318.75 / $318.75	Facility		$318.75	$318.75	$318.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $318.75 / $603.00	Professional		$250.00	$318.75	$603.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $530.41 / $721.17 / $1,521.38	Facility		$530.41	$721.17	$1,521.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $84.10 / $267.89 / $671.75	Professional		$84.10	$267.89	$671.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $308.58 / $629.27 / $1,060.50	Facility		$308.58	$629.27	$1,060.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $235.00 / $635.38 / $1,251.69	Facility		$235.00	$635.38	$1,251.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $174.44 / $593.00 / $79,999.20	Facility		$174.44	$593.00	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $259.19 / $259.19 / $259.19	Facility		$259.19	$259.19	$259.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $530.41 / $721.17 / $1,328.33	Facility		$530.41	$721.17	$1,328.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $119.06 / $119.06 / $267.89	Professional		$119.06	$119.06	$267.89