Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.01 / $421.72 / $1,020.01	Facility		$174.01	$421.72	$1,020.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.63 / $174.01 / $1,048.23	Professional		$116.63	$174.01	$1,048.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $194.38 / $296.19 / $879.32	Facility		$194.38	$296.19	$879.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $166.61 / $384.75 / $1,388.40	Professional		$166.61	$384.75	$1,388.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.74 / $424.89 / $735.88	Facility		$270.74	$424.89	$735.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.80 / $207.45 / $252.40	Professional		$97.80	$207.45	$252.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $182.59 / $231.40 / $528.15	Facility		$182.59	$231.40	$528.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.12 / $272.13 / $512.40	Professional		$185.12	$272.13	$512.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.76 / $181.23 / $498.26	Professional		$164.76	$181.23	$498.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $185.12 / $185.12 / $388.75	Facility		$185.12	$185.12	$388.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.12 / $323.95 / $555.36	Facility		$185.12	$323.95	$555.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.61 / $231.40 / $279.52	Professional		$166.61	$231.40	$279.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $194.38 / $303.77 / $509.08	Facility		$194.38	$303.77	$509.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $204.74 / $360.30 / $430.34	Professional		$204.74	$360.30	$430.34
United Facility/Professional Professional Modifier Low / Median / High Price $77.75 / $77.75 / $207.33	Professional		$77.75	$77.75	$207.33