Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.70 / $482.21 / $840.52	Facility		$271.70	$482.21	$840.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.71 / $271.70 / $543.40	Professional		$189.71	$271.70	$543.40
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 $285.05 / $480.50 / $1,334.29	Professional		$285.05	$480.50	$1,334.29
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 $275.61 / $475.55 / $740.13	Professional		$275.61	$475.55	$740.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $224.44 / $454.20 / $1,678.39	Facility		$224.44	$454.20	$1,678.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $224.44 / $493.61 / $649.21	Professional		$224.44	$493.61	$649.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.64 / $242.59 / $524.52	Professional		$42.64	$242.59	$524.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $310.08 / $413.36 / $469.20	Facility		$310.08	$413.36	$469.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $245.84 / $273.14 / $273.14	Professional		$245.84	$273.14	$273.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.50 / $279.50 / $288.37	Facility		$279.50	$279.50	$288.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.36 / $480.50 / $591.44	Professional		$313.36	$480.50	$591.44
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 $285.05 / $433.21 / $587.69	Professional		$285.05	$433.21	$587.69
United Facility/Professional Professional Modifier Low / Median / High Price $175.70 / $217.05 / $556.13	Professional		$175.70	$217.05	$556.13