Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.98 / $534.02 / $930.19	Facility		$297.98	$534.02	$930.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.38 / $297.98 / $695.77	Professional		$208.38	$297.98	$695.77
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 $320.82 / $543.51 / $1,503.61	Professional		$320.82	$543.51	$1,503.61
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 $318.36 / $534.03 / $795.10	Professional		$318.36	$534.03	$795.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $248.31 / $516.90 / $1,678.39	Facility		$248.31	$516.90	$1,678.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $248.31 / $545.65 / $718.25	Professional		$248.31	$545.65	$718.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $275.68 / $552.92	Professional		$47.11	$275.68	$552.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $343.51 / $440.32 / $509.32	Facility		$343.51	$440.32	$509.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $310.30 / $310.30 / $315.29	Facility		$310.30	$310.30	$315.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.45 / $525.02 / $636.42	Professional		$354.45	$525.02	$636.42
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 $321.55 / $469.87 / $650.23	Professional		$321.55	$469.87	$650.23
United Facility/Professional Professional Modifier Low / Median / High Price $210.43 / $259.95 / $655.50	Professional		$210.43	$259.95	$655.50