Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.35 / $279.77 / $441.99	Professional		$191.35	$279.77	$441.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $486.63 / $3,065.64 / $3,065.64	Facility		$486.63	$3,065.64	$3,065.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $48.08 / $430.61 / $575.37	Professional		$48.08	$430.61	$575.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.36 / $279.36 / $382.62	Facility		$279.36	$279.36	$382.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.46 / $279.36 / $382.62	Professional		$237.46	$279.36	$382.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $560.40 / $560.40 / $560.40	Facility		$560.40	$560.40	$560.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $560.40 / $560.40 / $560.40	Professional		$560.40	$560.40	$560.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $448.34 / $493.17	Professional		$75.00	$448.34	$493.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $573.89 / $685.85 / $835.49	Facility		$573.89	$685.85	$835.49
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $685.85 / $835.49 / $835.49	Professional		$685.85	$835.49	$835.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.24 / $485.71 / $562.05	Professional		$46.24	$485.71	$562.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $39.49 / $39.49 / $48.08	Professional		$39.49	$39.49	$48.08
United Facility/Professional Professional Modifier Low / Median / High Price $266.08 / $278.39 / $535.29	Professional		$266.08	$278.39	$535.29