Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.12 / $510.57 / $1,075.58	Facility		$154.12	$510.57	$1,075.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.28 / $154.12 / $159.04	Professional		$107.28	$154.12	$159.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $172.16 / $262.33 / $677.38	Facility		$172.16	$262.33	$677.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $340.80 / $1,229.70	Professional		$163.96	$340.80	$1,229.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.51 / $363.51 / $479.57	Facility		$170.51	$363.51	$479.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $147.56 / $163.96 / $1,019.99	Facility		$147.56	$163.96	$1,019.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.56 / $163.96 / $409.90	Professional		$147.56	$163.96	$409.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $147.56 / $180.36 / $286.93	Facility		$147.56	$180.36	$286.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.96 / $286.93 / $491.88	Facility		$163.96	$286.93	$491.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.56 / $204.95 / $247.58	Professional		$147.56	$204.95	$247.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $172.16 / $270.52 / $450.89	Facility		$172.16	$270.52	$450.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $181.34 / $319.22 / $381.58	Professional		$181.34	$319.22	$381.58
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $85.02 / $183.64	Professional		$68.86	$85.02	$183.64