Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.58 / $441.17 / $768.74	Facility		$245.58	$441.17	$768.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.57 / $245.58 / $574.79	Professional		$171.57	$245.58	$574.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $781.38 / $1,531.73 / $2,930.04	Facility		$781.38	$1,531.73	$2,930.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $262.42 / $445.84 / $1,227.50	Professional		$262.42	$445.84	$1,227.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $690.48 / $1,011.91 / $2,524.36	Facility		$690.48	$1,011.91	$2,524.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.39 / $439.09 / $653.50	Professional		$256.39	$439.09	$653.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $204.91 / $471.68 / $2,162.39	Facility		$204.91	$471.68	$2,162.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.91 / $449.99 / $608.59	Professional		$204.91	$449.99	$608.59
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 $283.92 / $362.23 / $419.76	Facility		$283.92	$362.23	$419.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.01 / $255.01 / $257.30	Facility		$255.01	$255.01	$257.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.75 / $430.67 / $523.01	Professional		$290.75	$430.67	$523.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $949.44 / $1,494.71 / $2,912.89	Facility		$949.44	$1,494.71	$2,912.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $262.42 / $386.14 / $536.19	Professional		$262.42	$386.14	$536.19
United Facility/Professional Professional Modifier Low / Median / High Price $171.85 / $206.07 / $516.02	Professional		$171.85	$206.07	$516.02