Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.26 / $489.26 / $489.26	Facility		$489.26	$489.26	$489.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.48 / $489.26 / $489.26	Professional		$460.48	$489.26	$489.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $391.42 / $614.53 / $2,644.30	Facility		$391.42	$614.53	$2,644.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $477.75 / $513.23 / $1,913.87	Professional		$477.75	$513.23	$1,913.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.43 / $528.86 / $1,282.49	Facility		$508.43	$528.86	$1,282.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.43 / $508.43 / $623.54	Professional		$508.43	$508.43	$623.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $311.04 / $770.79 / $1,998.78	Facility		$311.04	$770.79	$1,998.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $453.84 / $702.72 / $1,125.81	Professional		$453.84	$702.72	$1,125.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $247.50 / $532.95	Professional		$70.00	$247.50	$532.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $551.33 / $79,999.20 / $79,999.20	Facility		$551.33	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $332.71 / $649.76 / $1,095.98	Facility		$332.71	$649.76	$1,095.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $391.42 / $530.13 / $871.50	Facility		$391.42	$530.13	$871.50
United Facility/Professional Professional Modifier Low / Median / High Price $575.60 / $575.60 / $690.72	Professional		$575.60	$575.60	$690.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $503.35 / $503.35 / $503.35	Professional		$503.35	$503.35	$503.35