Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.30 / $441.97 / $696.16	Facility		$252.30	$441.97	$696.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.20 / $252.30 / $520.65	Professional		$176.20	$252.30	$520.65
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 $266.25 / $463.96 / $1,288.78	Professional		$266.25	$463.96	$1,288.78
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 $246.22 / $419.87 / $662.48	Professional		$246.22	$419.87	$662.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $192.20 / $388.71 / $1,678.39	Facility		$192.20	$388.71	$1,678.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.20 / $403.33 / $589.33	Professional		$192.20	$403.33	$589.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $232.60 / $411.55	Professional		$42.38	$232.60	$411.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $257.27 / $338.41 / $410.04	Facility		$257.27	$338.41	$410.04
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $363.48 / $363.48 / $363.48	Professional		$363.48	$363.48	$363.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.66 / $258.66 / $270.44	Facility		$258.66	$258.66	$270.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.57 / $441.78 / $534.02	Professional		$302.57	$441.78	$534.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $757.92 / $1,140.56 / $2,222.71	Facility		$757.92	$1,140.56	$2,222.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $275.81 / $398.98 / $533.84	Professional		$275.81	$398.98	$533.84
United Facility/Professional Professional Modifier Low / Median / High Price $148.88 / $202.10 / $537.00	Professional		$148.88	$202.10	$537.00