Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.15 / $567.86 / $664.52	Facility		$411.15	$567.86	$664.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.96 / $411.15 / $567.86	Professional		$386.96	$411.15	$567.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $414.83 / $828.90 / $2,136.35	Facility		$414.83	$828.90	$2,136.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $411.15 / $1,838.06 / $2,176.65	Professional		$411.15	$1,838.06	$2,176.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.15 / $411.15 / $822.30	Facility		$411.15	$411.15	$822.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.15 / $411.15 / $411.15	Professional		$411.15	$411.15	$411.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $407.75 / $659.98 / $1,409.73	Facility		$407.75	$659.98	$1,409.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $361.15 / $618.03 / $964.03	Professional		$361.15	$618.03	$964.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $70.00 / $80.00	Professional		$30.00	$70.00	$80.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $568.27 / $79,999.20 / $79,999.20	Facility		$568.27	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.18 / $427.27 / $978.45	Facility		$363.18	$427.27	$978.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.45 / $411.14 / $507.89	Professional		$372.45	$411.14	$507.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $377.01 / $534.09 / $828.90	Facility		$377.01	$534.09	$828.90
United Facility/Professional Professional Modifier Low / Median / High Price $403.08 / $403.08 / $483.70	Professional		$403.08	$403.08	$483.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $403.08 / $403.08 / $403.08	Professional		$403.08	$403.08	$403.08