Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.03 / $389.33 / $882.05	Professional		$378.03	$389.33	$882.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $66.34 / $1,572.17 / $3,649.09	Facility		$66.34	$1,572.17	$3,649.09
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $483.20 / $579.84 / $897.15	Professional		$483.20	$579.84	$897.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.13 / $278.13 / $278.13	Facility		$278.13	$278.13	$278.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.03 / $236.41 / $669.08	Professional		$203.03	$236.41	$669.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $730.82 / $730.82 / $730.82	Facility		$730.82	$730.82	$730.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $730.82 / $730.82 / $730.82	Professional		$730.82	$730.82	$730.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.08 / $548.12 / $867.85	Professional		$73.08	$548.12	$867.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $730.82 / $778.66 / $854.43	Facility		$730.82	$778.66	$854.43
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $657.74 / $730.82 / $854.43	Professional		$657.74	$730.82	$854.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.34 / $663.53 / $663.53	Facility		$66.34	$663.53	$663.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.31 / $603.10 / $815.96	Professional		$60.31	$603.10	$815.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $709.53 / $709.53 / $709.53	Facility		$709.53	$709.53	$709.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $58.58 / $58.58 / $71.33	Professional		$58.58	$58.58	$71.33
United Facility/Professional Professional Modifier Low / Median / High Price $340.25 / $366.44 / $702.12	Professional		$340.25	$366.44	$702.12