Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.17 / $223.80 / $352.80	Professional		$126.17	$223.80	$352.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,008.95 / $2,008.95	Facility		$100.00	$2,008.95	$2,008.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $329.40 / $447.70	Professional		$37.15	$329.40	$447.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.52 / $209.52 / $290.14	Facility		$209.52	$209.52	$290.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.09 / $209.52 / $290.14	Professional		$178.09	$209.52	$290.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $447.70 / $447.70 / $447.70	Facility		$447.70	$447.70	$447.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $447.70 / $447.70 / $447.70	Professional		$447.70	$447.70	$447.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $308.92 / $343.25 / $377.57	Professional		$308.92	$343.25	$377.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $363.84 / $690.49 / $760.45	Facility		$363.84	$690.49	$760.45
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $624.25 / $749.80 / $760.45	Professional		$624.25	$749.80	$760.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.20 / $39.20 / $39.20	Facility		$39.20	$39.20	$39.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $320.26 / $437.20	Professional		$37.15	$320.26	$437.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $36.81	Professional		$30.23	$30.23	$36.81
United Facility/Professional Professional Modifier Low / Median / High Price $175.43 / $189.90 / $362.20	Professional		$175.43	$189.90	$362.20