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 $397.72 / $540.74 / $1,323.00	Facility		$397.72	$540.74	$1,323.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $89.22 / $207.97 / $1,018.75	Professional		$89.22	$207.97	$1,018.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.07 / $564.47 / $1,060.50	Facility		$229.07	$564.47	$1,060.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $182.43 / $490.69 / $1,594.98	Facility		$182.43	$490.69	$1,594.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $163.38 / $445.00 / $79,999.20	Facility		$163.38	$445.00	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.22 / $201.22 / $201.22	Facility		$201.22	$201.22	$201.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $397.72 / $540.74 / $1,016.49	Facility		$397.72	$540.74	$1,016.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $92.43 / $92.43 / $207.97	Professional		$92.43	$92.43	$207.97