Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.29 / $250.34 / $556.79	Professional		$250.29	$250.34	$556.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,352.03 / $2,352.03	Facility		$100.00	$2,352.03	$2,352.03
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $41.58 / $368.60 / $525.71	Professional		$41.58	$368.60	$525.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Facility		$307.55	$307.55	$307.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.42 / $261.42 / $580.50	Professional		$261.42	$261.42	$580.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $500.68 / $500.68 / $500.68	Facility		$500.68	$500.68	$500.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $500.68 / $500.68 / $500.68	Professional		$500.68	$500.68	$500.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $345.45 / $383.84 / $422.22	Professional		$345.45	$383.84	$422.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $450.61 / $488.95 / $550.75	Facility		$450.61	$488.95	$550.75
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $475.65 / $500.68 / $500.68	Professional		$475.65	$500.68	$500.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.86 / $438.42 / $438.42	Facility		$43.86	$438.42	$438.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.58 / $415.61 / $562.29	Professional		$41.58	$415.61	$562.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $488.95 / $488.95 / $488.95	Facility		$488.95	$488.95	$488.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.82 / $33.82 / $41.18	Professional		$33.82	$33.82	$41.18
United Facility/Professional Professional Modifier Low / Median / High Price $196.31 / $212.32 / $405.08	Professional		$196.31	$212.32	$405.08