Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.47 / $375.55 / $835.27	Professional		$375.47	$375.55	$835.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,528.39 / $3,528.39	Facility		$100.00	$3,528.39	$3,528.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $62.34 / $552.95 / $788.66	Professional		$62.34	$552.95	$788.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $461.38 / $461.38 / $461.38	Facility		$461.38	$461.38	$461.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.17 / $392.17 / $870.75	Professional		$392.17	$392.17	$870.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $751.10 / $751.10 / $751.10	Facility		$751.10	$751.10	$751.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $751.10 / $751.10 / $751.10	Professional		$751.10	$751.10	$751.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $518.22 / $575.80 / $633.39	Professional		$518.22	$575.80	$633.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $675.99 / $733.50 / $826.21	Facility		$675.99	$733.50	$826.21
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $713.55 / $751.10 / $751.10	Professional		$713.55	$751.10	$751.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.76 / $657.69 / $657.69	Facility		$65.76	$657.69	$657.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.34 / $623.48 / $1,322.58	Professional		$62.34	$623.48	$1,322.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $733.50 / $733.50 / $733.50	Facility		$733.50	$733.50	$733.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $50.71 / $61.74	Professional		$50.71	$50.71	$61.74
United Facility/Professional Professional Modifier Low / Median / High Price $294.49 / $318.51 / $607.66	Professional		$294.49	$318.51	$607.66