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 $404.74 / $576.91 / $2,489.36	Facility		$404.74	$576.91	$2,489.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $474.17 / $1,728.30	Professional		$288.00	$474.17	$1,728.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.07 / $472.25 / $858.10	Facility		$229.07	$472.25	$858.10
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 $182.43 / $490.69 / $899.71	Facility		$182.43	$490.69	$899.71
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 $112.02 / $176.51 / $395.21	Facility		$112.02	$176.51	$395.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.22 / $271.35 / $274.20	Facility		$201.22	$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 $397.72 / $520.67 / $996.00	Facility		$397.72	$520.67	$996.00
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 Facility Modifier Low / Median / High Price $85.14 / $138.60 / $161.41	Facility		$85.14	$138.60	$161.41
United Facility/Professional Professional Modifier Low / Median / High Price $155.02 / $207.19 / $505.40	Professional		$155.02	$207.19	$505.40