Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.98 / $276.77 / $417.15	Professional		$198.98	$276.77	$417.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,770.01 / $1,770.01	Facility		$100.00	$1,770.01	$1,770.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $58.03 / $348.44 / $569.88	Professional		$58.03	$348.44	$569.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.81 / $382.81 / $382.81	Facility		$382.81	$382.81	$382.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.39 / $382.81 / $382.81	Professional		$325.39	$382.81	$382.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $511.20 / $511.20 / $511.20	Facility		$511.20	$511.20	$511.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $511.20 / $511.20 / $511.20	Professional		$511.20	$511.20	$511.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $660.62 / $670.00	Facility		$550.00	$660.62	$670.00
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $550.00 / $660.62 / $670.00	Professional		$550.00	$660.62	$670.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.57 / $48.57 / $48.57	Facility		$48.57	$48.57	$48.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $421.86 / $495.41	Professional		$42.19	$421.86	$495.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.66 / $47.66 / $58.03	Professional		$47.66	$47.66	$58.03
United Facility/Professional Professional Modifier Low / Median / High Price $216.54 / $237.52 / $360.90	Professional		$216.54	$237.52	$360.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $366.64 / $366.64 / $366.64	Professional		$366.64	$366.64	$366.64