Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.68 / $353.23 / $687.63	Facility		$233.68	$353.23	$687.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.25 / $233.68 / $514.67	Professional		$138.25	$233.68	$514.67
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 $192.78 / $341.91 / $1,140.68	Professional		$192.78	$341.91	$1,140.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $341.65 / $780.44 / $1,926.24	Facility		$341.65	$780.44	$1,926.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.00 / $340.68 / $471.01	Professional		$221.00	$340.68	$471.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $185.38 / $384.99 / $1,678.39	Facility		$185.38	$384.99	$1,678.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.38 / $375.33 / $494.84	Professional		$185.38	$375.33	$494.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.78 / $144.45 / $301.99	Professional		$29.78	$144.45	$301.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $216.64 / $290.82 / $380.12	Facility		$216.64	$290.82	$380.12
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $245.84 / $245.84 / $245.84	Professional		$245.84	$245.84	$245.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.89 / $181.89 / $239.18	Facility		$181.89	$181.89	$239.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.76 / $313.39 / $438.76	Professional		$214.76	$313.39	$438.76
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 $243.94 / $301.70 / $485.60	Professional		$243.94	$301.70	$485.60
United Facility/Professional Professional Modifier Low / Median / High Price $137.28 / $161.66 / $456.82	Professional		$137.28	$161.66	$456.82