Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.04 / $644.82 / $1,629.80	Facility		$278.04	$644.82	$1,629.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.05 / $251.42 / $437.77	Professional		$207.05	$251.42	$437.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $310.58 / $473.26 / $1,222.03	Facility		$310.58	$473.26	$1,222.03
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $266.20 / $578.01 / $2,218.42	Professional		$266.20	$578.01	$2,218.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.02 / $605.62 / $769.73	Facility		$148.02	$605.62	$769.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.51 / $312.61 / $403.39	Professional		$141.51	$312.61	$403.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $282.70 / $398.88 / $915.02	Facility		$282.70	$398.88	$915.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $292.02 / $434.81 / $802.54	Professional		$292.02	$434.81	$802.54
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 $295.79 / $295.79 / $443.69	Facility		$295.79	$295.79	$443.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.79 / $517.63 / $887.37	Facility		$295.79	$517.63	$887.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.20 / $369.74 / $446.64	Professional		$266.20	$369.74	$446.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $310.58 / $473.26 / $813.42	Facility		$310.58	$473.26	$813.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $327.14 / $575.79 / $688.09	Professional		$327.14	$575.79	$688.09
United Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $124.23 / $331.28	Professional		$124.23	$124.23	$331.28