Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.02 / $239.26 / $533.39	Professional		$238.02	$239.26	$533.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,238.82 / $2,238.82	Facility		$100.00	$2,238.82	$2,238.82
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $41.87 / $375.06 / $517.39	Professional		$41.87	$375.06	$517.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.53 / $331.53 / $331.53	Facility		$331.53	$331.53	$331.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.80 / $331.53 / $409.54	Professional		$281.80	$331.53	$409.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $476.04 / $476.04 / $476.04	Facility		$476.04	$476.04	$476.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $476.04 / $476.04 / $476.04	Professional		$476.04	$476.04	$476.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $390.56 / $429.61	Professional		$75.00	$390.56	$429.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $443.48 / $479.85 / $523.64	Facility		$443.48	$479.85	$523.64
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $428.44 / $476.04 / $523.64	Professional		$428.44	$476.04	$523.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $419.99 / $419.99 / $808.80	Facility		$419.99	$419.99	$808.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $392.84 / $846.86	Professional		$39.29	$392.84	$846.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $462.17 / $462.17 / $462.17	Facility		$462.17	$462.17	$462.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $34.39 / $41.87	Professional		$34.39	$34.39	$41.87
United Facility/Professional Professional Modifier Low / Median / High Price $231.76 / $238.09 / $457.76	Professional		$231.76	$238.09	$457.76