Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.91 / $880.89 / $1,855.69	Facility		$265.91	$880.89	$1,855.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.21 / $265.91 / $274.39	Professional		$178.21	$265.91	$274.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $297.02 / $452.61 / $990.08	Facility		$297.02	$452.61	$990.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $588.20 / $2,121.60	Professional		$282.88	$588.20	$2,121.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.19 / $601.30 / $730.42	Facility		$294.19	$601.30	$730.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $254.59 / $282.88 / $707.20	Facility		$254.59	$282.88	$707.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.59 / $282.88 / $707.20	Professional		$254.59	$282.88	$707.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $282.88 / $282.88 / $495.04	Facility		$282.88	$282.88	$495.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $282.88 / $495.04 / $848.64	Facility		$282.88	$495.04	$848.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.59 / $353.60 / $427.15	Professional		$254.59	$353.60	$427.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $297.02 / $452.61 / $777.92	Facility		$297.02	$452.61	$777.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $312.87 / $522.21 / $693.05	Professional		$312.87	$522.21	$693.05
United Facility/Professional Facility Modifier Low / Median / High Price $282.88 / $339.46 / $339.46	Facility		$282.88	$339.46	$339.46
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $118.81 / $339.46	Professional		$118.81	$118.81	$339.46