Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.43 / $440.63 / $488.55	Professional		$183.43	$440.63	$488.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $518.65 / $751.16 / $2,372.57	Facility		$518.65	$751.16	$2,372.57
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $473.29 / $591.96 / $3,253.65	Professional		$473.29	$591.96	$3,253.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.23 / $213.23 / $213.23	Professional		$213.23	$213.23	$213.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $311.55 / $547.72 / $1,436.94	Facility		$311.55	$547.72	$1,436.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.45 / $546.72 / $989.55	Professional		$314.45	$546.72	$989.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $502.36 / $613.99 / $628.73	Professional		$502.36	$613.99	$628.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $572.02 / $578.42 / $592.30	Facility		$572.02	$578.42	$592.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $518.65 / $518.65 / $518.65	Facility		$518.65	$518.65	$518.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $491.67 / $561.08 / $665.19	Professional		$491.67	$561.08	$665.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $473.25 / $503.46 / $651.54	Professional		$473.25	$503.46	$651.54
United Facility/Professional Professional Modifier Low / Median / High Price $204.91 / $221.62 / $422.83	Professional		$204.91	$221.62	$422.83