Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.61 / $390.72 / $813.69	Facility		$211.61	$390.72	$813.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.93 / $211.61 / $580.41	Professional		$157.93	$211.61	$580.41
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 $220.88 / $373.37 / $1,057.01	Professional		$220.88	$373.37	$1,057.01
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 $213.94 / $369.91 / $544.16	Professional		$213.94	$369.91	$544.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $201.19 / $394.15 / $1,678.39	Facility		$201.19	$394.15	$1,678.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.19 / $395.50 / $527.80	Professional		$201.19	$395.50	$527.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.16 / $207.66 / $359.95	Professional		$37.16	$207.66	$359.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $252.39 / $310.88 / $422.96	Facility		$252.39	$310.88	$422.96
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $245.84 / $245.84 / $245.84	Professional		$245.84	$245.84	$245.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.05 / $212.05 / $221.52	Facility		$212.05	$212.05	$221.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.49 / $360.67 / $441.73	Professional		$243.49	$360.67	$441.73
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 $225.92 / $328.28 / $461.69	Professional		$225.92	$328.28	$461.69
United Facility/Professional Facility Modifier Low / Median / High Price $342.95 / $357.80 / $367.30	Facility		$342.95	$357.80	$367.30
United Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $184.93 / $432.16	Professional		$149.69	$184.93	$432.16