Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.74 / $557.46 / $1,815.60	Facility		$309.74	$557.46	$1,815.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.64 / $309.74 / $517.64	Professional		$174.64	$309.74	$517.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $345.99 / $527.22 / $1,361.34	Facility		$345.99	$527.22	$1,361.34
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $296.56 / $643.55 / $2,471.33	Professional		$296.56	$643.55	$2,471.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.74 / $531.16 / $856.72	Facility		$163.74	$531.16	$856.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.38 / $348.27 / $449.40	Professional		$158.38	$348.27	$449.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $325.19 / $416.25 / $1,019.22	Facility		$325.19	$416.25	$1,019.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.51 / $484.38 / $911.87	Professional		$329.51	$484.38	$911.87
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 $329.51 / $329.51 / $691.97	Facility		$329.51	$329.51	$691.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $329.51 / $576.64 / $988.53	Facility		$329.51	$576.64	$988.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.56 / $411.89 / $497.56	Professional		$296.56	$411.89	$497.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $345.99 / $527.22 / $906.15	Facility		$345.99	$527.22	$906.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $364.44 / $641.13 / $766.26	Professional		$364.44	$641.13	$766.26
United Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $138.38 / $369.05	Professional		$138.38	$138.38	$369.05