Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.36 / $222.45 / $350.55	Professional		$222.36	$222.45	$350.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,348.81 / $2,348.81	Facility		$100.00	$2,348.81	$2,348.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $36.92 / $327.62 / $444.90	Professional		$36.92	$327.62	$444.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.92 / $219.78 / $219.78	Facility		$38.92	$219.78	$219.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.92 / $186.81 / $517.50	Professional		$38.92	$186.81	$517.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $444.90 / $444.90 / $444.90	Facility		$444.90	$444.90	$444.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $444.90 / $444.90 / $444.90	Professional		$444.90	$444.90	$444.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $341.03 / $375.13	Professional		$75.00	$341.03	$375.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $436.63 / $807.29 / $889.09	Facility		$436.63	$807.29	$889.09
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $729.85 / $876.64 / $889.09	Professional		$729.85	$876.64	$889.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.95 / $38.95 / $38.95	Facility		$38.95	$38.95	$38.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.92 / $369.24 / $434.40	Professional		$36.92	$369.24	$434.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.04 / $30.04 / $36.58	Professional		$30.04	$30.04	$36.58
United Facility/Professional Professional Modifier Low / Median / High Price $202.43 / $220.00 / $366.67	Professional		$202.43	$220.00	$366.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $317.20 / $317.20 / $317.20	Professional		$317.20	$317.20	$317.20