Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.65 / $230.94 / $379.57	Facility		$126.65	$230.94	$379.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $126.65 / $285.82	Professional		$105.74	$126.65	$285.82
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 $141.83 / $232.07 / $907.42	Professional		$141.83	$232.07	$907.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $473.58 / $780.44 / $1,926.24	Facility		$473.58	$780.44	$1,926.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.74 / $228.27 / $354.48	Professional		$131.74	$228.27	$354.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $125.19 / $271.36 / $1,678.39	Facility		$125.19	$271.36	$1,678.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.19 / $259.25 / $335.62	Professional		$125.19	$259.25	$335.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $120.15 / $245.27	Professional		$22.60	$120.15	$245.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.62 / $198.32 / $245.62	Facility		$162.62	$198.32	$245.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.07 / $139.07 / $139.38	Facility		$139.07	$139.07	$139.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.68 / $232.50 / $285.88	Professional		$156.68	$232.50	$285.88
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 $141.83 / $211.06 / $286.20	Professional		$141.83	$211.06	$286.20
United Facility/Professional Professional Modifier Low / Median / High Price $90.81 / $114.66 / $292.52	Professional		$90.81	$114.66	$292.52