Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.08 / $478.26 / $1,077.18	Professional		$453.08	$478.26	$1,077.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $79.53 / $1,800.04 / $4,343.22	Facility		$79.53	$1,800.04	$4,343.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $82.72 / $681.69 / $1,056.57	Professional		$82.72	$681.69	$1,056.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.39 / $369.39 / $369.39	Facility		$369.39	$369.39	$369.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.64 / $313.98 / $797.45	Professional		$269.64	$313.98	$797.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $887.36 / $887.36 / $887.36	Facility		$887.36	$887.36	$887.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $887.36 / $887.36 / $887.36	Professional		$887.36	$887.36	$887.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.74 / $665.52 / $1,006.26	Professional		$88.74	$665.52	$1,006.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $887.36 / $944.88 / $1,025.41	Facility		$887.36	$944.88	$1,025.41
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $842.99 / $887.36 / $1,025.41	Professional		$842.99	$887.36	$1,025.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.53 / $795.27 / $795.27	Facility		$79.53	$795.27	$795.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.23 / $732.29 / $990.75	Professional		$73.23	$732.29	$990.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $861.52 / $861.52 / $861.52	Facility		$861.52	$861.52	$861.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $67.94 / $82.72	Professional		$67.94	$67.94	$82.72
United Facility/Professional Professional Modifier Low / Median / High Price $409.01 / $435.42 / $837.22	Professional		$409.01	$435.42	$837.22