Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.62 / $461.85 / $942.01	Facility		$251.62	$461.85	$942.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.40 / $251.62 / $686.08	Professional		$187.40	$251.62	$686.08
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 $268.88 / $443.48 / $1,257.98	Professional		$268.88	$443.48	$1,257.98
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 $266.10 / $437.24 / $647.65	Professional		$266.10	$437.24	$647.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $239.32 / $493.06 / $1,678.39	Facility		$239.32	$493.06	$1,678.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.32 / $493.06 / $598.99	Professional		$239.32	$493.06	$598.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $232.19 / $468.46	Professional		$42.34	$232.19	$468.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $299.14 / $371.18 / $513.40	Facility		$299.14	$371.18	$513.40
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $270.14 / $270.14 / $313.52	Professional		$270.14	$270.14	$313.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $253.18 / $253.18 / $263.64	Facility		$253.18	$253.18	$263.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.20 / $428.80 / $527.41	Professional		$289.20	$428.80	$527.41
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 $268.88 / $391.96 / $543.54	Professional		$268.88	$391.96	$543.54
United Facility/Professional Professional Modifier Low / Median / High Price $179.15 / $220.34 / $534.84	Professional		$179.15	$220.34	$534.84