Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.46 / $461.46 / $461.46	Facility		$461.46	$461.46	$461.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.82 / $461.46 / $727.47	Professional		$443.82	$461.46	$727.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.83 / $4,141.80 / $4,141.80	Facility		$80.83	$4,141.80	$4,141.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $876.85 / $6,811.73	Professional		$86.70	$876.85	$6,811.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.51 / $643.37 / $643.37	Professional		$68.51	$643.37	$643.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $615.65 / $1,238.06 / $1,585.45	Facility		$615.65	$1,238.06	$1,585.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $623.72 / $1,193.68 / $1,664.93	Professional		$623.72	$1,193.68	$1,664.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $92.30 / $693.10	Professional		$60.00	$92.30	$693.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,287.00 / $1,545.85 / $1,545.85	Facility		$1,287.00	$1,545.85	$1,545.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.83 / $80.83 / $80.83	Facility		$80.83	$80.83	$80.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.62 / $766.19 / $1,036.60	Professional		$76.62	$766.19	$1,036.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $62.34 / $62.34 / $75.91	Professional		$62.34	$62.34	$75.91
United Facility/Professional Professional Modifier Low / Median / High Price $372.51 / $388.47 / $647.45	Professional		$372.51	$388.47	$647.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $532.37 / $532.37 / $532.37	Professional		$532.37	$532.37	$532.37