Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.91 / $299.86 / $638.59	Facility		$152.91	$299.86	$638.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.51 / $152.91 / $445.44	Professional		$128.51	$152.91	$445.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $633.94 / $1,168.14 / $2,235.80	Facility		$633.94	$1,168.14	$2,235.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $171.40 / $280.77 / $1,787.68	Professional		$171.40	$280.77	$1,787.68
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 $179.00 / $289.18 / $432.14	Professional		$179.00	$289.18	$432.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $151.90 / $353.02 / $1,678.39	Facility		$151.90	$353.02	$1,678.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.90 / $322.42 / $482.28	Professional		$151.90	$322.42	$482.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.78 / $144.45 / $301.99	Professional		$29.78	$144.45	$301.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $204.60 / $249.24 / $380.19	Facility		$204.60	$249.24	$380.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.06 / $168.06 / $170.00	Facility		$168.06	$168.06	$170.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.56 / $283.58 / $348.68	Professional		$189.56	$283.58	$348.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $731.61 / $1,140.56 / $2,222.71	Facility		$731.61	$1,140.56	$2,222.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $171.40 / $257.42 / $366.04	Professional		$171.40	$257.42	$366.04
United Facility/Professional Professional Modifier Low / Median / High Price $110.13 / $151.69 / $350.54	Professional		$110.13	$151.69	$350.54