Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.11 / $451.04 / $1,090.92	Facility		$186.11	$451.04	$1,090.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.93 / $186.11 / $349.45	Professional		$104.93	$186.11	$349.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $207.89 / $324.89 / $692.97	Facility		$207.89	$324.89	$692.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $178.19 / $386.67 / $1,484.93	Professional		$178.19	$386.67	$1,484.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.22 / $405.37 / $579.11	Facility		$124.22	$405.37	$579.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.56 / $222.26 / $270.26	Professional		$123.56	$222.26	$270.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $197.99 / $291.13 / $677.81	Facility		$197.99	$291.13	$677.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.99 / $350.10 / $612.54	Professional		$197.99	$350.10	$612.54
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 $197.99 / $197.99 / $415.78	Facility		$197.99	$197.99	$415.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.99 / $346.48 / $593.97	Facility		$197.99	$346.48	$593.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.19 / $247.49 / $298.95	Professional		$178.19	$247.49	$298.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $207.89 / $326.68 / $544.47	Facility		$207.89	$326.68	$544.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $230.85 / $385.22 / $460.53	Professional		$230.85	$385.22	$460.53
United Facility/Professional Professional Modifier Low / Median / High Price $83.16 / $113.27 / $237.59	Professional		$83.16	$113.27	$237.59