Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.66 / $333.60 / $1,064.81	Facility		$181.66	$333.60	$1,064.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.88 / $181.66 / $307.87	Professional		$137.88	$181.66	$307.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $202.91 / $317.12 / $676.38	Facility		$202.91	$317.12	$676.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $167.61 / $359.10 / $1,449.38	Professional		$167.61	$359.10	$1,449.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.63 / $311.51 / $502.44	Facility		$132.63	$311.51	$502.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.12 / $216.63 / $273.41	Professional		$100.12	$216.63	$273.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $190.65 / $244.35 / $598.15	Facility		$190.65	$244.35	$598.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $284.08 / $535.14	Professional		$193.25	$284.08	$535.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $189.18 / $205.07	Professional		$75.00	$189.18	$205.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $193.25 / $193.25 / $405.83	Facility		$193.25	$193.25	$405.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.93 / $336.26 / $579.75	Facility		$173.93	$336.26	$579.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.93 / $241.56 / $291.81	Professional		$173.93	$241.56	$291.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $202.91 / $317.12 / $531.44	Facility		$202.91	$317.12	$531.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $213.73 / $375.79 / $449.69	Professional		$213.73	$375.79	$449.69
United Facility/Professional Facility Modifier Low / Median / High Price $193.25 / $231.90 / $231.90	Facility		$193.25	$231.90	$231.90
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $82.82 / $216.44	Professional		$81.17	$82.82	$216.44