Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.66 / $421.29 / $1,064.81	Facility		$181.66	$421.29	$1,064.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.28 / $181.66 / $329.12	Professional		$135.28	$181.66	$329.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $202.91 / $309.20 / $798.39	Facility		$202.91	$309.20	$798.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $173.93 / $394.96 / $1,449.38	Professional		$173.93	$394.96	$1,449.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.68 / $395.67 / $502.89	Facility		$98.68	$395.67	$502.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.45 / $204.25 / $263.56	Professional		$92.45	$204.25	$263.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $184.72 / $260.64 / $598.15	Facility		$184.72	$260.64	$598.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.65 / $284.08 / $524.62	Professional		$190.65	$284.08	$524.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $193.25 / $193.25 / $289.88	Facility		$193.25	$193.25	$289.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.25 / $338.19 / $579.75	Facility		$193.25	$338.19	$579.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.93 / $241.56 / $291.81	Professional		$173.93	$241.56	$291.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $202.91 / $309.20 / $531.44	Facility		$202.91	$309.20	$531.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $213.73 / $375.79 / $449.69	Professional		$213.73	$375.79	$449.69
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $81.17 / $216.44	Professional		$81.17	$81.17	$216.44