Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.03 / $724.61 / $1,419.00	Facility		$210.03	$724.61	$1,419.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.73 / $115.86 / $115.86	Professional		$87.73	$115.86	$115.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $186.20 / $298.11 / $615.41	Facility		$186.20	$298.11	$615.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $168.93 / $337.46 / $1,490.55	Professional		$168.93	$337.46	$1,490.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.91 / $322.95 / $384.62	Facility		$154.91	$322.95	$384.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $178.87 / $198.74 / $337.86	Facility		$178.87	$198.74	$337.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.87 / $198.74 / $496.85	Professional		$178.87	$198.74	$496.85
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 $178.87 / $218.61 / $347.80	Facility		$178.87	$218.61	$347.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.96 / $260.68 / $461.78	Facility		$148.96	$260.68	$461.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.06 / $186.20 / $224.93	Professional		$134.06	$186.20	$224.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $208.68 / $312.02 / $546.54	Facility		$208.68	$312.02	$546.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $198.66 / $297.01 / $453.42	Professional		$198.66	$297.01	$453.42
United Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $69.52 / $166.84	Professional		$62.56	$69.52	$166.84