Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.45 / $426.82 / $840.07	Facility		$263.45	$426.82	$840.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.46 / $263.45 / $629.66	Professional		$183.46	$263.45	$629.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $737.25 / $1,168.14 / $2,235.80	Facility		$737.25	$1,168.14	$2,235.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $248.56 / $411.18 / $1,162.32	Professional		$248.56	$411.18	$1,162.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $513.41 / $780.44 / $1,926.24	Facility		$513.41	$780.44	$1,926.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.74 / $400.98 / $598.89	Professional		$269.74	$400.98	$598.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $221.96 / $456.51 / $1,678.39	Facility		$221.96	$456.51	$1,678.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.96 / $457.04 / $592.49	Professional		$221.96	$457.04	$592.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.10 / $190.19 / $385.40	Professional		$36.10	$190.19	$385.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $278.24 / $343.71 / $450.16	Facility		$278.24	$343.71	$450.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.44 / $234.44 / $243.71	Facility		$234.44	$234.44	$243.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.14 / $397.19 / $496.06	Professional		$268.14	$397.19	$496.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $737.25 / $1,140.56 / $2,222.71	Facility		$737.25	$1,140.56	$2,222.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $248.56 / $362.95 / $547.88	Professional		$248.56	$362.95	$547.88
United Facility/Professional Professional Modifier Low / Median / High Price $180.87 / $210.89 / $529.62	Professional		$180.87	$210.89	$529.62