Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.94 / $344.00 / $538.55	Professional		$329.94	$344.00	$538.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $57.92 / $3,564.78 / $3,564.78	Facility		$57.92	$3,564.78	$3,564.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $58.79 / $473.97 / $712.10	Professional		$58.79	$473.97	$712.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.88 / $450.88 / $450.88	Facility		$450.88	$450.88	$450.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.34 / $383.25 / $450.88	Professional		$58.34	$383.25	$450.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $653.29 / $653.29 / $653.29	Facility		$653.29	$653.29	$653.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $653.29 / $653.29 / $653.29	Professional		$653.29	$653.29	$653.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $438.49 / $548.12 / $602.93	Professional		$438.49	$548.12	$602.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $572.01 / $797.50 / $971.50	Facility		$572.01	$797.50	$971.50
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $797.50 / $971.50 / $971.50	Professional		$797.50	$971.50	$971.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.92 / $57.92 / $57.92	Facility		$57.92	$57.92	$57.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.92 / $539.16 / $729.44	Professional		$53.92	$539.16	$729.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.28 / $48.28 / $58.79	Professional		$48.28	$48.28	$58.79
United Facility/Professional Facility Modifier Low / Median / High Price $25.91 / $229.57 / $469.44	Facility		$25.91	$229.57	$469.44
United Facility/Professional Professional Modifier Low / Median / High Price $282.52 / $327.66 / $629.90	Professional		$282.52	$327.66	$629.90