Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.96 / $818.11 / $1,875.82	Facility		$246.96	$818.11	$1,875.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.51 / $246.96 / $254.84	Professional		$165.51	$246.96	$254.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $275.86 / $431.12 / $1,247.92	Facility		$275.86	$431.12	$1,247.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $236.45 / $742.05 / $1,970.40	Professional		$236.45	$742.05	$1,970.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.23 / $558.47 / $678.38	Facility		$273.23	$558.47	$678.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $236.45 / $262.72 / $446.62	Facility		$236.45	$262.72	$446.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.45 / $262.72 / $656.80	Professional		$236.45	$262.72	$656.80
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 $262.72 / $262.72 / $367.81	Facility		$262.72	$262.72	$367.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.72 / $459.76 / $814.43	Facility		$262.72	$459.76	$814.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.45 / $328.40 / $396.71	Professional		$236.45	$328.40	$396.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $275.86 / $433.49 / $722.48	Facility		$275.86	$433.49	$722.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $290.57 / $513.23 / $610.69	Professional		$290.57	$513.23	$610.69
United Facility/Professional Professional Modifier Low / Median / High Price $110.34 / $110.34 / $294.25	Professional		$110.34	$110.34	$294.25