Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.25 / $223.25 / $223.25	Facility		$223.25	$223.25	$223.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.23 / $223.25 / $371.00	Professional		$174.23	$223.25	$371.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $262.18 / $408.83 / $2,489.36	Facility		$262.18	$408.83	$2,489.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $280.32 / $472.31 / $1,728.30	Professional		$280.32	$472.31	$1,728.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.32 / $282.58 / $540.75	Facility		$134.32	$282.58	$540.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.48 / $315.48 / $315.48	Professional		$315.48	$315.48	$315.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $111.19 / $290.81 / $549.10	Facility		$111.19	$290.81	$549.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $917.71 / $917.71 / $917.71	Professional		$917.71	$917.71	$917.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $68.36 / $104.63 / $395.21	Facility		$68.36	$104.63	$395.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.65 / $271.35 / $274.20	Facility		$122.65	$271.35	$274.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.42 / $464.40 / $562.38	Professional		$303.42	$464.40	$562.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $237.98 / $317.16 / $595.98	Facility		$237.98	$317.16	$595.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $277.20 / $390.00 / $515.40	Professional		$277.20	$390.00	$515.40
United Facility/Professional Professional Modifier Low / Median / High Price $94.44 / $126.22 / $299.24	Professional		$94.44	$126.22	$299.24