Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.32 / $544.36 / $1,146.75	Facility		$164.32	$544.36	$1,146.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.13 / $164.32 / $169.57	Professional		$110.13	$164.32	$169.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $183.55 / $279.70 / $722.21	Facility		$183.55	$279.70	$722.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $357.99 / $1,311.08	Professional		$164.32	$357.99	$1,311.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.81 / $371.60 / $451.40	Facility		$181.81	$371.60	$451.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $157.33 / $174.81 / $437.02	Facility		$157.33	$174.81	$437.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.33 / $174.81 / $437.02	Professional		$157.33	$174.81	$437.02
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 $157.33 / $192.29 / $305.92	Facility		$157.33	$192.29	$305.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $305.92 / $524.42	Facility		$174.81	$305.92	$524.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.33 / $218.51 / $263.95	Professional		$157.33	$218.51	$263.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $183.55 / $279.70 / $480.73	Facility		$183.55	$279.70	$480.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $193.34 / $340.09 / $406.35	Professional		$193.34	$340.09	$406.35
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $195.79	Professional		$73.42	$73.42	$195.79