Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.56 / $412.92 / $1,537.29	Facility		$221.56	$412.92	$1,537.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.50 / $262.26 / $825.00	Professional		$139.50	$262.26	$825.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $292.95 / $446.40 / $1,152.66	Facility		$292.95	$446.40	$1,152.66
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $211.57 / $518.49 / $2,092.50	Professional		$211.57	$518.49	$2,092.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $290.16 / $571.25 / $725.40	Facility		$290.16	$571.25	$725.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.03 / $294.95 / $380.60	Professional		$141.03	$294.95	$380.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $275.27 / $348.75 / $796.26	Facility		$275.27	$348.75	$796.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $279.00 / $410.13 / $772.40	Professional		$279.00	$410.13	$772.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $273.14 / $296.06	Professional		$75.00	$273.14	$296.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $279.00 / $279.00 / $585.90	Facility		$279.00	$279.00	$585.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.00 / $488.25 / $837.00	Facility		$279.00	$488.25	$837.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.10 / $348.75 / $421.29	Professional		$251.10	$348.75	$421.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $292.95 / $457.84 / $767.25	Facility		$292.95	$457.84	$767.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $308.57 / $542.79 / $648.61	Professional		$308.57	$542.79	$648.61
United Facility/Professional Professional Modifier Low / Median / High Price $58.86 / $117.18 / $312.48	Professional		$58.86	$117.18	$312.48