Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.20 / $637.87 / $1,542.80	Facility		$263.20	$637.87	$1,542.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $263.20 / $446.07	Professional		$90.00	$263.20	$446.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $448.00 / $1,156.79	Facility		$294.00	$448.00	$1,156.79
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $573.50 / $2,100.00	Professional		$252.00	$573.50	$2,100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.20 / $455.00 / $728.00	Facility		$291.20	$455.00	$728.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.00 / $313.92 / $396.35	Professional		$148.00	$313.92	$396.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $276.52 / $350.00 / $799.85	Facility		$276.52	$350.00	$799.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $411.60 / $774.67	Professional		$280.00	$411.60	$774.67
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 $280.00 / $280.00 / $588.00	Facility		$280.00	$280.00	$588.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $280.00 / $490.00 / $840.00	Facility		$280.00	$490.00	$840.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $350.00 / $422.80	Professional		$252.00	$350.00	$422.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $459.48 / $770.00	Facility		$294.00	$459.48	$770.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $309.68 / $544.83 / $650.92	Professional		$309.68	$544.83	$650.92
United Facility/Professional Professional Modifier Low / Median / High Price $117.60 / $117.60 / $313.60	Professional		$117.60	$117.60	$313.60