Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $556.48 / $583.08 / $1,282.92	Professional		$556.48	$583.08	$1,282.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,417.98 / $5,453.18	Facility		$100.00	$2,417.98	$5,453.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $108.52 / $862.67 / $1,358.04	Professional		$108.52	$862.67	$1,358.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.97 / $394.97 / $394.97	Facility		$394.97	$394.97	$394.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.33 / $335.72 / $999.67	Professional		$288.33	$335.72	$999.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,133.45 / $1,133.45 / $1,133.45	Facility		$1,133.45	$1,133.45	$1,133.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,133.45 / $1,133.45 / $1,133.45	Professional		$1,133.45	$1,133.45	$1,133.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.35 / $850.09 / $1,320.16	Professional		$113.35	$850.09	$1,320.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,112.96 / $1,133.45 / $1,293.36	Facility		$1,112.96	$1,133.45	$1,293.36
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,112.96 / $1,133.45 / $1,299.83	Professional		$1,112.96	$1,133.45	$1,299.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.34 / $1,023.45 / $1,023.45	Facility		$102.34	$1,023.45	$1,023.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.54 / $935.37 / $2,063.55	Professional		$93.54	$935.37	$2,063.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,100.44 / $1,100.44 / $1,100.44	Facility		$1,100.44	$1,100.44	$1,100.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $108.52	Professional		$89.13	$89.13	$108.52
United Facility/Professional Professional Modifier Low / Median / High Price $517.60 / $548.04 / $1,053.82	Professional		$517.60	$548.04	$1,053.82