Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.40 / $1,120.78 / $1,774.36	Facility		$350.40	$1,120.78	$1,774.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.26 / $195.65 / $195.65	Professional		$124.26	$195.65	$195.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $260.94 / $407.80 / $1,026.69	Facility		$260.94	$407.80	$1,026.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $245.67 / $516.27 / $1,863.83	Professional		$245.67	$516.27	$1,863.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.81 / $403.83 / $641.67	Facility		$134.81	$403.83	$641.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $203.78 / $248.51 / $621.28	Facility		$203.78	$248.51	$621.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.78 / $248.51 / $621.28	Professional		$203.78	$248.51	$621.28
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 $223.66 / $273.36 / $434.89	Facility		$223.66	$273.36	$434.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $248.51 / $434.89 / $745.53	Facility		$248.51	$434.89	$745.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.66 / $310.64 / $375.25	Professional		$223.66	$310.64	$375.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $260.94 / $407.80 / $683.40	Facility		$260.94	$407.80	$683.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $286.10 / $485.32 / $608.39	Professional		$286.10	$485.32	$608.39
United Facility/Professional Professional Modifier Low / Median / High Price $104.37 / $104.37 / $278.33	Professional		$104.37	$104.37	$278.33