Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.52 / $694.39 / $1,679.50	Facility		$286.52	$694.39	$1,679.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.74 / $286.52 / $485.59	Professional		$103.74	$286.52	$485.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $320.05 / $487.70 / $1,259.29	Facility		$320.05	$487.70	$1,259.29
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $274.33 / $595.23 / $2,286.08	Professional		$274.33	$595.23	$2,286.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $317.01 / $647.94 / $891.59	Facility		$317.01	$647.94	$891.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.15 / $341.83 / $415.89	Professional		$161.15	$341.83	$415.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $301.01 / $381.01 / $870.69	Facility		$301.01	$381.01	$870.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $304.81 / $448.07 / $843.65	Professional		$304.81	$448.07	$843.65
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 $304.81 / $304.81 / $640.10	Facility		$304.81	$304.81	$640.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $304.81 / $533.41 / $914.43	Facility		$304.81	$533.41	$914.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.33 / $381.01 / $460.26	Professional		$274.33	$381.01	$460.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $320.05 / $500.19 / $838.23	Facility		$320.05	$500.19	$838.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $337.12 / $593.30 / $708.98	Professional		$337.12	$593.30	$708.98
United Facility/Professional Professional Modifier Low / Median / High Price $128.02 / $128.02 / $341.39	Professional		$128.02	$128.02	$341.39