Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.33 / $855.82 / $1,802.88	Facility		$258.33	$855.82	$1,802.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.14 / $258.33 / $266.58	Professional		$173.14	$258.33	$266.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $288.57 / $439.73 / $961.91	Facility		$288.57	$439.73	$961.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $271.69 / $562.87 / $2,061.23	Professional		$271.69	$562.87	$2,061.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.82 / $584.21 / $709.65	Facility		$285.82	$584.21	$709.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $247.35 / $274.83 / $687.08	Facility		$247.35	$274.83	$687.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.35 / $274.83 / $687.08	Professional		$247.35	$274.83	$687.08
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 $274.83 / $274.83 / $384.76	Facility		$274.83	$274.83	$384.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $480.95 / $824.49	Facility		$274.83	$480.95	$824.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.35 / $343.54 / $414.99	Professional		$247.35	$343.54	$414.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $288.57 / $439.73 / $755.78	Facility		$288.57	$439.73	$755.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $303.95 / $534.73 / $639.32	Professional		$303.95	$534.73	$639.32
United Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $329.80 / $329.80	Facility		$274.83	$329.80	$329.80
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $115.43 / $302.31	Professional		$115.43	$115.43	$302.31