Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.39 / $520.96 / $1,332.87	Facility		$227.39	$520.96	$1,332.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.64 / $230.66 / $385.37	Professional		$174.64	$230.66	$385.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $254.00 / $396.96 / $999.39	Facility		$254.00	$396.96	$999.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $217.71 / $472.74 / $1,814.25	Professional		$217.71	$472.74	$1,814.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.74 / $495.31 / $707.58	Facility		$163.74	$495.31	$707.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.04 / $271.33 / $349.04	Professional		$151.04	$271.33	$349.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $241.90 / $356.07 / $828.75	Facility		$241.90	$356.07	$828.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $241.90 / $427.95 / $748.95	Professional		$241.90	$427.95	$748.95
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 $241.90 / $241.90 / $507.99	Facility		$241.90	$241.90	$507.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.90 / $423.33 / $725.70	Facility		$241.90	$423.33	$725.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.71 / $302.38 / $365.27	Professional		$217.71	$302.38	$365.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $254.00 / $399.14 / $665.23	Facility		$254.00	$399.14	$665.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $282.05 / $470.74 / $562.70	Professional		$282.05	$470.74	$562.70
United Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $101.60 / $271.49	Professional		$101.60	$101.60	$271.49