Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.32 / $291.93 / $963.20	Facility		$164.32	$291.93	$963.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.25 / $164.32 / $278.49	Professional		$122.25	$164.32	$278.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $183.55 / $283.89 / $722.21	Facility		$183.55	$283.89	$722.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $157.33 / $341.64 / $1,311.08	Professional		$157.33	$341.64	$1,311.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.90 / $281.80 / $454.52	Facility		$46.90	$281.80	$454.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.67 / $196.06 / $247.40	Professional		$88.67	$196.06	$247.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $172.67 / $220.95 / $541.38	Facility		$172.67	$220.95	$541.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $256.97 / $484.36	Professional		$174.81	$256.97	$484.36
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 $174.81 / $174.81 / $367.10	Facility		$174.81	$174.81	$367.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.33 / $304.17 / $524.42	Facility		$157.33	$304.17	$524.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.33 / $218.51 / $263.95	Professional		$157.33	$218.51	$263.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $183.55 / $286.86 / $480.73	Facility		$183.55	$286.86	$480.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $193.34 / $340.09 / $406.35	Professional		$193.34	$340.09	$406.35
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.53 / $195.79	Professional		$73.42	$73.53	$195.79