Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.68 / $233.80 / $372.06	Professional		$232.68	$233.80	$372.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,865.59 / $1,865.59	Facility		$100.00	$1,865.59	$1,865.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $44.56 / $370.70 / $539.10	Professional		$44.56	$370.70	$539.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.93 / $332.93 / $332.93	Facility		$332.93	$332.93	$332.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $282.99 / $349.92	Professional		$39.86	$282.99	$349.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $447.10 / $447.10 / $447.10	Facility		$447.10	$447.10	$447.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $447.10 / $447.10 / $447.10	Professional		$447.10	$447.10	$447.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $415.37 / $456.90	Professional		$75.00	$415.37	$456.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $531.63 / $641.21 / $706.18	Facility		$531.63	$641.21	$706.18
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $579.70 / $696.29 / $706.18	Professional		$579.70	$696.29	$706.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.84 / $40.84 / $40.84	Facility		$40.84	$40.84	$40.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $421.08 / $823.25	Professional		$36.90	$421.08	$823.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $36.60 / $44.56	Professional		$36.60	$36.60	$44.56
United Facility/Professional Professional Modifier Low / Median / High Price $228.23 / $246.49 / $380.38	Professional		$228.23	$246.49	$380.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $386.23 / $386.23 / $386.23	Professional		$386.23	$386.23	$386.23