Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.38 / $304.98 / $481.77	Professional		$210.38	$304.98	$481.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,331.13 / $3,331.13	Facility		$100.00	$3,331.13	$3,331.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $52.89 / $473.44 / $627.90	Professional		$52.89	$473.44	$627.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.73 / $283.73 / $423.43	Facility		$283.73	$283.73	$423.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.17 / $283.73 / $423.43	Professional		$241.17	$283.73	$423.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $608.90 / $608.90 / $608.90	Facility		$608.90	$608.90	$608.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $608.90 / $608.90 / $608.90	Professional		$608.90	$608.90	$608.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $493.12 / $542.43	Professional		$75.00	$493.12	$542.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $745.25 / $907.85	Facility		$630.96	$745.25	$907.85
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $745.25 / $907.85 / $907.85	Professional		$745.25	$907.85	$907.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.53 / $53.53 / $53.53	Facility		$53.53	$53.53	$53.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.24 / $169.36 / $591.10	Professional		$50.24	$169.36	$591.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.44 / $43.44 / $52.89	Professional		$43.44	$43.44	$52.89
United Facility/Professional Professional Modifier Low / Median / High Price $292.54 / $303.48 / $583.50	Professional		$292.54	$303.48	$583.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $458.41 / $458.41 / $458.41	Professional		$458.41	$458.41	$458.41