Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.74 / $370.66 / $1,182.56	Facility		$201.74	$370.66	$1,182.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.21 / $201.74 / $346.39	Professional		$135.21	$201.74	$346.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $225.35 / $343.39 / $751.17	Facility		$225.35	$343.39	$751.17
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $193.16 / $398.79 / $1,609.65	Professional		$193.16	$398.79	$1,609.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.54 / $345.96 / $558.00	Facility		$110.54	$345.96	$558.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.20 / $226.75 / $292.60	Professional		$111.20	$226.75	$292.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $211.73 / $271.35 / $663.38	Facility		$211.73	$271.35	$663.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.62 / $315.49 / $593.51	Professional		$214.62	$315.49	$593.51
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 $214.62 / $214.62 / $450.70	Facility		$214.62	$214.62	$450.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $214.62 / $373.44 / $643.86	Facility		$214.62	$373.44	$643.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.16 / $268.27 / $324.08	Professional		$193.16	$268.27	$324.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $225.35 / $352.19 / $590.21	Facility		$225.35	$352.19	$590.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $237.37 / $417.54 / $499.23	Professional		$237.37	$417.54	$499.23
United Facility/Professional Professional Modifier Low / Median / High Price $90.14 / $92.02 / $236.08	Professional		$90.14	$92.02	$236.08