Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.42 / $449.38 / $778.37	Facility		$250.42	$449.38	$778.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.51 / $250.42 / $585.50	Professional		$176.51	$250.42	$585.50
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 $271.19 / $460.80 / $1,484.44	Professional		$271.19	$460.80	$1,484.44
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 $268.93 / $419.08 / $672.74	Professional		$268.93	$419.08	$672.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $208.63 / $452.52 / $1,678.39	Facility		$208.63	$452.52	$1,678.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.63 / $461.47 / $589.96	Professional		$208.63	$461.47	$589.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $196.64 / $443.41	Professional		$36.60	$196.64	$443.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $289.73 / $376.22 / $416.30	Facility		$289.73	$376.22	$416.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $264.14 / $264.14 / $265.91	Facility		$264.14	$264.14	$265.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.51 / $445.13 / $541.76	Professional		$300.51	$445.13	$541.76
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 $271.19 / $399.98 / $549.98	Professional		$271.19	$399.98	$549.98
United Facility/Professional Professional Modifier Low / Median / High Price $173.28 / $218.86 / $555.75	Professional		$173.28	$218.86	$555.75