Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.52 / $836.09 / $1,622.81	Facility		$294.52	$836.09	$1,622.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.09 / $276.85 / $574.30	Professional		$156.09	$276.85	$574.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $309.25 / $515.41 / $1,030.82	Facility		$309.25	$515.41	$1,030.82
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $290.36 / $547.47 / $2,208.90	Professional		$290.36	$547.47	$2,208.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.60 / $534.13 / $861.48	Facility		$162.60	$534.13	$861.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.80 / $330.83 / $401.60	Professional		$183.80	$330.83	$401.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $294.52 / $433.31 / $1,007.81	Facility		$294.52	$433.31	$1,007.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $294.52 / $520.65 / $910.78	Professional		$294.52	$520.65	$910.78
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 $294.52 / $294.52 / $618.49	Facility		$294.52	$294.52	$618.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $265.07 / $515.41 / $883.56	Facility		$265.07	$515.41	$883.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.07 / $368.15 / $444.73	Professional		$265.07	$368.15	$444.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $309.25 / $485.96 / $809.93	Facility		$309.25	$485.96	$809.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $343.40 / $573.11 / $684.99	Professional		$343.40	$573.11	$684.99
United Facility/Professional Professional Modifier Low / Median / High Price $123.70 / $168.50 / $329.86	Professional		$123.70	$168.50	$329.86