Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.09 / $463.13 / $1,284.22	Facility		$219.09	$463.13	$1,284.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.05 / $219.09 / $450.00	Professional		$190.05	$219.09	$450.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $244.72 / $407.87 / $815.75	Facility		$244.72	$407.87	$815.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $209.76 / $433.44 / $1,748.03	Professional		$209.76	$433.44	$1,748.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.44 / $434.15 / $681.75	Facility		$156.44	$434.15	$681.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.12 / $261.42 / $338.19	Professional		$134.12	$261.42	$338.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $233.07 / $335.25 / $757.71	Facility		$233.07	$335.25	$757.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $233.07 / $380.25 / $699.23	Professional		$233.07	$380.25	$699.23
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 $233.07 / $233.07 / $489.45	Facility		$233.07	$233.07	$489.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.76 / $407.87 / $699.21	Facility		$209.76	$407.87	$699.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.76 / $291.33 / $351.94	Professional		$209.76	$291.33	$351.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $244.72 / $382.47 / $640.94	Facility		$244.72	$382.47	$640.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $257.77 / $453.24 / $541.79	Professional		$257.77	$453.24	$541.79
United Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $123.22 / $261.04	Professional		$97.89	$123.22	$261.04