Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.89 / $312.97 / $696.07	Professional		$312.89	$312.97	$696.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,940.40 / $2,940.40	Facility		$100.00	$2,940.40	$2,940.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $460.79 / $657.23	Professional		$51.95	$460.79	$657.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.90 / $353.90 / $353.90	Facility		$353.90	$353.90	$353.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.82 / $300.82 / $725.63	Professional		$300.82	$300.82	$725.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $625.92 / $625.92 / $625.92	Facility		$625.92	$625.92	$625.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $625.92 / $625.92 / $625.92	Professional		$625.92	$625.92	$625.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $431.85 / $479.84 / $527.82	Professional		$431.85	$479.84	$527.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $563.34 / $611.26 / $688.52	Facility		$563.34	$611.26	$688.52
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $563.34 / $625.92 / $751.12	Professional		$563.34	$625.92	$751.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.80 / $548.09 / $548.09	Facility		$54.80	$548.09	$548.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $611.26 / $702.95	Professional		$51.95	$611.26	$702.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $611.26 / $611.26 / $611.26	Facility		$611.26	$611.26	$611.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.26 / $42.26 / $51.46	Professional		$42.26	$42.26	$51.46
United Facility/Professional Professional Modifier Low / Median / High Price $245.41 / $265.43 / $464.50	Professional		$245.41	$265.43	$464.50