Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.88 / $492.91 / $1,605.39	Facility		$273.88	$492.91	$1,605.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.68 / $273.88 / $440.10	Professional		$145.68	$273.88	$440.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $291.36 / $466.18 / $1,019.76	Facility		$291.36	$466.18	$1,019.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $247.66 / $541.79 / $2,185.19	Professional		$247.66	$541.79	$2,185.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.47 / $469.66 / $757.52	Facility		$174.47	$469.66	$757.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $326.77 / $412.16	Professional		$147.91	$326.77	$412.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $287.37 / $368.10 / $900.62	Facility		$287.37	$368.10	$900.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $291.36 / $428.30 / $805.75	Professional		$291.36	$428.30	$805.75
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 $291.36 / $291.36 / $611.86	Facility		$291.36	$291.36	$611.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.22 / $506.97 / $874.08	Facility		$262.22	$506.97	$874.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.22 / $364.20 / $439.95	Professional		$262.22	$364.20	$439.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $305.93 / $478.12 / $801.24	Facility		$305.93	$478.12	$801.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $322.24 / $567.04 / $677.25	Professional		$322.24	$567.04	$677.25
United Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $122.37 / $326.32	Professional		$122.37	$122.37	$326.32