Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.71 / $420.81 / $935.93	Professional		$420.71	$420.81	$935.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $736.95 / $3,947.25 / $3,947.25	Facility		$736.95	$3,947.25	$3,947.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $467.10 / $619.36 / $883.70	Professional		$467.10	$619.36	$883.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $516.79 / $516.79 / $516.79	Facility		$516.79	$516.79	$516.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.27 / $516.79 / $736.20	Professional		$439.27	$516.79	$736.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $841.62 / $841.62 / $841.62	Facility		$841.62	$841.62	$841.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $841.62 / $841.62 / $841.62	Professional		$841.62	$841.62	$841.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.56 / $516.16 / $709.72	Professional		$77.56	$516.16	$709.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $757.46 / $841.62 / $881.48	Facility		$757.46	$841.62	$881.48
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $757.46 / $841.62 / $841.62	Professional		$757.46	$841.62	$841.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.70 / $736.95 / $945.19	Facility		$73.70	$736.95	$945.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.86 / $698.63 / $945.19	Professional		$69.86	$698.63	$945.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $821.90 / $821.90 / $821.90	Facility		$821.90	$821.90	$821.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.83 / $56.83 / $69.20	Professional		$56.83	$56.83	$69.20
United Facility/Professional Professional Modifier Low / Median / High Price $382.72 / $419.88 / $734.79	Professional		$382.72	$419.88	$734.79