Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.10 / $561.72 / $911.61	Professional		$554.10	$561.72	$911.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $98.60 / $3,177.13 / $3,177.13	Facility		$98.60	$3,177.13	$3,177.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $107.54 / $905.91 / $1,145.07	Professional		$107.54	$905.91	$1,145.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.69 / $251.69 / $251.69	Facility		$251.69	$251.69	$251.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.94 / $251.69 / $1,350.00	Professional		$213.94	$251.69	$1,350.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,079.70 / $1,079.70 / $1,079.70	Facility		$1,079.70	$1,079.70	$1,079.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,079.70 / $1,079.70 / $1,079.70	Professional		$1,079.70	$1,079.70	$1,079.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $130.80 / $994.07	Professional		$60.00	$130.80	$994.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $987.25 / $1,185.81 / $1,202.65	Facility		$987.25	$1,185.81	$1,202.65
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $987.25 / $1,185.81 / $1,202.65	Professional		$987.25	$1,185.81	$1,202.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.60 / $98.60 / $98.60	Facility		$98.60	$98.60	$98.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.10 / $120.54 / $1,205.43	Professional		$89.10	$120.54	$1,205.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $88.32 / $88.32 / $107.54	Professional		$88.32	$88.32	$107.54
United Facility/Professional Professional Modifier Low / Median / High Price $388.69 / $512.89 / $680.20	Professional		$388.69	$512.89	$680.20