Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.01 / $472.62 / $1,222.84	Facility		$195.01	$472.62	$1,222.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $195.01 / $478.09	Professional		$180.00	$195.01	$478.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $217.83 / $363.06 / $985.44	Facility		$217.83	$363.06	$985.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $186.71 / $385.56 / $1,555.95	Professional		$186.71	$385.56	$1,555.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $303.41 / $476.16 / $665.92	Facility		$303.41	$476.16	$665.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.38 / $233.19 / $283.22	Professional		$129.38	$233.19	$283.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $207.46 / $305.14 / $710.62	Facility		$207.46	$305.14	$710.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.46 / $366.75 / $642.20	Professional		$207.46	$366.75	$642.20
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 $207.46 / $207.46 / $435.67	Facility		$207.46	$207.46	$435.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.46 / $373.43 / $726.11	Facility		$207.46	$373.43	$726.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.71 / $259.33 / $313.26	Professional		$186.71	$259.33	$313.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $217.83 / $342.31 / $570.52	Facility		$217.83	$342.31	$570.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $241.89 / $403.40 / $482.20	Professional		$241.89	$403.40	$482.20
United Facility/Professional Professional Modifier Low / Median / High Price $87.13 / $118.87 / $232.36	Professional		$87.13	$118.87	$232.36