Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.16 / $285.43 / $601.29	Facility		$86.16	$285.43	$601.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.98 / $86.16 / $88.91	Professional		$59.98	$86.16	$88.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $96.24 / $146.66 / $378.68	Facility		$96.24	$146.66	$378.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $190.30 / $687.45	Professional		$91.66	$190.30	$687.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.33 / $203.23 / $268.11	Facility		$95.33	$203.23	$268.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $82.49 / $91.66 / $570.26	Facility		$82.49	$91.66	$570.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $91.66 / $229.15	Professional		$82.49	$91.66	$229.15
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 $82.49 / $100.83 / $160.41	Facility		$82.49	$100.83	$160.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $160.41 / $274.98	Facility		$91.66	$160.41	$274.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $114.57 / $138.41	Professional		$82.49	$114.57	$138.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $96.24 / $151.24 / $252.07	Facility		$96.24	$151.24	$252.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $101.38 / $178.47 / $212.85	Professional		$101.38	$178.47	$212.85
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $38.50 / $102.66	Professional		$38.50	$38.50	$102.66