Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.05 / $562.85 / $978.17	Facility		$307.05	$562.85	$978.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.42 / $307.05 / $733.33	Professional		$215.42	$307.05	$733.33
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 $341.98 / $578.88 / $1,605.02	Professional		$341.98	$578.88	$1,605.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.81 / $780.44 / $1,926.24	Facility		$506.81	$780.44	$1,926.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.36 / $569.66 / $849.19	Professional		$333.36	$569.66	$849.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $263.19 / $533.78 / $1,678.39	Facility		$263.19	$533.78	$1,678.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.19 / $580.09 / $761.29	Professional		$263.19	$580.09	$761.29
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 $362.41 / $470.67 / $522.55	Facility		$362.41	$470.67	$522.55
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $273.14 / $273.14 / $273.14	Professional		$273.14	$273.14	$273.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $332.24 / $332.24 / $336.58	Facility		$332.24	$332.24	$336.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.08 / $560.02 / $681.42	Professional		$378.08	$560.02	$681.42
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 $343.27 / $503.08 / $690.69	Professional		$343.27	$503.08	$690.69
United Facility/Professional Professional Modifier Low / Median / High Price $201.53 / $266.33 / $671.01	Professional		$201.53	$266.33	$671.01