Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.98 / $397.22 / $910.42	Professional		$395.98	$397.22	$910.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $69.50 / $1,595.34 / $3,751.53	Facility		$69.50	$1,595.34	$3,751.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $476.03 / $603.26 / $936.29	Professional		$476.03	$603.26	$936.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $647.96 / $647.96 / $647.96	Facility		$647.96	$647.96	$647.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.01 / $550.77 / $686.75	Professional		$473.01	$550.77	$686.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $760.72 / $760.72 / $760.72	Facility		$760.72	$760.72	$760.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $760.72 / $760.72 / $760.72	Professional		$760.72	$760.72	$760.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $570.54 / $923.20	Professional		$76.06	$570.54	$923.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $760.72 / $794.43 / $891.70	Facility		$760.72	$794.43	$891.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.50 / $695.02 / $695.02	Facility		$69.50	$695.02	$695.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.78 / $627.78 / $849.34	Professional		$62.78	$627.78	$849.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $738.56 / $738.56 / $738.56	Facility		$738.56	$738.56	$738.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $62.34 / $62.34 / $75.91	Professional		$62.34	$62.34	$75.91
United Facility/Professional Professional Modifier Low / Median / High Price $361.96 / $379.17 / $729.07	Professional		$361.96	$379.17	$729.07