Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.36 / $316.41 / $14,464.32	Facility		$165.36	$316.41	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.15 / $165.36 / $284.66	Professional		$106.15	$165.36	$284.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $658.33 / $1,339.76	Facility		$55.00	$658.33	$1,339.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $163.41 / $259.50 / $933.52	Professional		$163.41	$259.50	$933.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.29 / $71.29 / $118.76	Facility		$71.29	$71.29	$118.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.63 / $235.85 / $374.33	Professional		$149.63	$235.85	$374.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $108.50 / $217.91 / $317.26	Facility		$108.50	$217.91	$317.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.74 / $214.51 / $308.17	Professional		$109.74	$214.51	$308.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $221.87 / $361.44	Professional		$34.22	$221.87	$361.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $169.09 / $233.83 / $251.25	Facility		$169.09	$233.83	$251.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.42 / $167.16 / $171.38	Facility		$53.42	$167.16	$171.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.38 / $228.06 / $322.45	Professional		$171.38	$228.06	$322.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $511.06 / $699.99 / $1,339.76	Facility		$511.06	$699.99	$1,339.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.01 / $216.75 / $297.69	Professional		$154.01	$216.75	$297.69
United Facility/Professional Facility Modifier Low / Median / High Price $666.00 / $902.12 / $1,673.84	Facility		$666.00	$902.12	$1,673.84
United Facility/Professional Professional Modifier Low / Median / High Price $156.19 / $248.50 / $357.23	Professional		$156.19	$248.50	$357.23