Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.08 / $188.23 / $5,081.51	Facility		$114.08	$188.23	$5,081.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.08 / $425.00 / $603.00	Professional		$114.08	$425.00	$603.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $200.17 / $359.13 / $2,600.00	Facility		$200.17	$359.13	$2,600.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $124.28 / $255.91 / $1,257.00	Professional		$124.28	$255.91	$1,257.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.09 / $233.56 / $1,011.19	Facility		$115.09	$233.56	$1,011.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $221.33 / $334.89	Professional		$87.98	$221.33	$334.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $82.61 / $180.65 / $301.63	Facility		$82.61	$180.65	$301.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.11 / $182.38 / $274.13	Professional		$90.11	$182.38	$274.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $127.16 / $187.89 / $193.63	Facility		$127.16	$187.89	$193.63
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $274.64 / $274.64 / $274.64	Professional		$274.64	$274.64	$274.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.11 / $91.11 / $91.11	Facility		$91.11	$91.11	$91.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $166.99 / $251.80 / $498.19	Facility		$166.99	$251.80	$498.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $124.28 / $191.35 / $259.58	Professional		$124.28	$191.35	$259.58