Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.87 / $472.27 / $1,142.28	Facility		$194.87	$472.27	$1,142.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.61 / $194.87 / $306.82	Professional		$130.61	$194.87	$306.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $217.68 / $331.70 / $856.48	Facility		$217.68	$331.70	$856.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $186.58 / $424.06 / $1,554.83	Professional		$186.58	$424.06	$1,554.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.60 / $440.67 / $535.29	Facility		$215.60	$440.67	$535.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $225.36 / $303.00	Professional		$102.26	$225.36	$303.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $207.31 / $259.14 / $709.68	Facility		$207.31	$259.14	$709.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $352.43 / $641.35	Professional		$207.31	$352.43	$641.35
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 $207.31 / $217.68 / $310.97	Facility		$207.31	$217.68	$310.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.31 / $362.79 / $621.92	Facility		$207.31	$362.79	$621.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.58 / $259.14 / $313.04	Professional		$186.58	$259.14	$313.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $217.68 / $331.70 / $570.10	Facility		$217.68	$331.70	$570.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $229.28 / $403.40 / $482.20	Professional		$229.28	$403.40	$482.20
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $87.07 / $232.19	Professional		$87.07	$87.07	$232.19