Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.57 / $389.29 / $14,464.32	Facility		$199.57	$389.29	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.98 / $151.34 / $313.06	Professional		$113.98	$151.34	$313.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $93.30 / $854.53 / $1,739.05	Facility		$93.30	$854.53	$1,739.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $199.54 / $347.98 / $1,249.11	Professional		$199.54	$347.98	$1,249.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.40 / $121.40 / $202.26	Facility		$121.40	$121.40	$202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.20 / $289.76 / $508.49	Professional		$174.20	$289.76	$508.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $136.27 / $252.41 / $404.41	Facility		$136.27	$252.41	$404.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.77 / $248.05 / $368.92	Professional		$138.77	$248.05	$368.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.97 / $278.79 / $453.80	Professional		$42.97	$278.79	$453.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $197.45 / $282.74 / $340.36	Facility		$197.45	$282.74	$340.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.30 / $226.95 / $232.16	Facility		$93.30	$226.95	$232.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.54 / $291.95 / $425.55	Professional		$199.54	$291.95	$425.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $589.53 / $908.60 / $1,739.05	Facility		$589.53	$908.60	$1,739.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $182.01 / $264.01 / $393.19	Professional		$182.01	$264.01	$393.19
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $191.94 / $290.49 / $487.58	Professional		$191.94	$290.49	$487.58