Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.33 / $626.09 / $1,514.31	Facility		$258.33	$626.09	$1,514.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.14 / $258.33 / $437.83	Professional		$173.14	$258.33	$437.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $288.57 / $439.73 / $1,135.43	Facility		$288.57	$439.73	$1,135.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $258.33 / $536.96 / $2,061.23	Professional		$258.33	$536.96	$2,061.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.82 / $584.21 / $709.65	Facility		$285.82	$584.21	$709.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.36 / $290.45 / $389.20	Professional		$131.36	$290.45	$389.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $343.54 / $940.31	Facility		$274.83	$343.54	$940.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $467.21 / $849.78	Professional		$274.83	$467.21	$849.78
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 $274.83 / $274.83 / $412.25	Facility		$274.83	$274.83	$412.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $480.95 / $824.49	Facility		$274.83	$480.95	$824.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.35 / $343.54 / $414.99	Professional		$247.35	$343.54	$414.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $288.57 / $439.73 / $755.78	Facility		$288.57	$439.73	$755.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $303.95 / $534.73 / $639.32	Professional		$303.95	$534.73	$639.32
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $115.43 / $307.81	Professional		$115.43	$115.43	$307.81