Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.88 / $302.79 / $966.45	Facility		$164.88	$302.79	$966.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.70 / $164.88 / $270.35	Professional		$87.70	$164.88	$270.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $184.17 / $280.64 / $613.90	Facility		$184.17	$280.64	$613.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $157.86 / $342.97 / $1,315.50	Professional		$157.86	$342.97	$1,315.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.71 / $282.74 / $456.04	Facility		$40.71	$282.74	$456.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.85 / $196.80 / $248.42	Professional		$90.85	$196.80	$248.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $172.98 / $221.40 / $543.08	Facility		$172.98	$221.40	$543.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $257.83 / $485.87	Professional		$175.40	$257.83	$485.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $171.72 / $186.13	Professional		$75.00	$171.72	$186.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $175.40 / $175.40 / $368.34	Facility		$175.40	$175.40	$368.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.86 / $305.20 / $526.20	Facility		$157.86	$305.20	$526.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.86 / $219.25 / $264.85	Professional		$157.86	$219.25	$264.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $184.17 / $287.83 / $482.35	Facility		$184.17	$287.83	$482.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $193.99 / $341.44 / $407.90	Professional		$193.99	$341.44	$407.90
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $75.17 / $196.45	Professional		$73.67	$75.17	$196.45