Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.27 / $938.40 / $1,976.86	Facility		$283.27	$938.40	$1,976.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.85 / $283.27 / $292.31	Professional		$189.85	$283.27	$292.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $316.42 / $482.16 / $1,054.73	Facility		$316.42	$482.16	$1,054.73
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $271.22 / $626.26 / $2,260.13	Professional		$271.22	$626.26	$2,260.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.41 / $640.59 / $778.13	Facility		$313.41	$640.59	$778.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $271.22 / $301.35 / $753.38	Facility		$271.22	$301.35	$753.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $271.22 / $301.35 / $753.38	Professional		$271.22	$301.35	$753.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $301.35 / $421.89	Facility		$301.35	$301.35	$421.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $527.36 / $904.05	Facility		$301.35	$527.36	$904.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.22 / $376.69 / $455.04	Professional		$271.22	$376.69	$455.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $316.42 / $482.16 / $828.71	Facility		$316.42	$482.16	$828.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $333.29 / $555.98 / $737.87	Professional		$333.29	$555.98	$737.87
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $126.57 / $337.51	Professional		$126.57	$126.57	$337.51