Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.14 / $561.64 / $1,436.95	Facility		$245.14	$561.64	$1,436.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.56 / $248.42 / $552.88	Professional		$188.56	$248.42	$552.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $273.83 / $456.38 / $1,077.43	Facility		$273.83	$456.38	$1,077.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $234.71 / $509.82 / $1,955.93	Professional		$234.71	$509.82	$1,955.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.22 / $554.35 / $837.08	Facility		$271.22	$554.35	$837.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.69 / $292.94 / $355.59	Professional		$162.69	$292.94	$355.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $260.79 / $383.65 / $892.50	Facility		$260.79	$383.65	$892.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.79 / $461.25 / $806.58	Professional		$260.79	$461.25	$806.58
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 $260.79 / $260.79 / $547.66	Facility		$260.79	$260.79	$547.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.79 / $456.38 / $782.37	Facility		$260.79	$456.38	$782.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.71 / $325.99 / $393.79	Professional		$234.71	$325.99	$393.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $273.83 / $430.30 / $717.17	Facility		$273.83	$430.30	$717.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $304.07 / $507.78 / $606.04	Professional		$304.07	$507.78	$606.04
United Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $149.05 / $292.08	Professional		$109.53	$149.05	$292.08