Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.43 / $384.53 / $670.15	Facility		$215.43	$384.53	$670.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.51 / $215.43 / $501.00	Professional		$150.51	$215.43	$501.00
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 $230.97 / $392.27 / $1,080.14	Professional		$230.97	$392.27	$1,080.14
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 $224.85 / $386.60 / $575.26	Professional		$224.85	$386.60	$575.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $179.18 / $384.99 / $1,678.39	Facility		$179.18	$384.99	$1,678.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.18 / $384.77 / $533.02	Professional		$179.18	$384.77	$533.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.16 / $207.65 / $359.95	Professional		$37.16	$207.65	$359.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $222.30 / $320.10 / $353.60	Facility		$222.30	$320.10	$353.60
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $245.84 / $245.84 / $273.14	Professional		$245.84	$245.84	$273.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $224.39 / $224.39 / $226.50	Facility		$224.39	$224.39	$226.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.82 / $378.93 / $460.21	Professional		$255.82	$378.93	$460.21
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 $231.00 / $339.77 / $469.05	Professional		$231.00	$339.77	$469.05
United Facility/Professional Professional Modifier Low / Median / High Price $131.21 / $177.20 / $473.11	Professional		$131.21	$177.20	$473.11