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 $104.51 / $181.66 / $309.77	Professional		$104.51	$181.66	$309.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $202.91 / $309.20 / $1,189.41	Facility		$202.91	$309.20	$1,189.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $173.93 / $394.96 / $1,449.38	Professional		$173.93	$394.96	$1,449.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.99 / $311.51 / $502.44	Facility		$97.99	$311.51	$502.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.86 / $204.25 / $263.56	Professional		$94.86	$204.25	$263.56
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 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
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 $193.25 / $338.19 / $579.75	Facility		$193.25	$338.19	$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 / $309.20 / $531.44	Facility		$202.91	$309.20	$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 Professional Modifier Low / Median / High Price $81.17 / $82.82 / $216.44	Professional		$81.17	$82.82	$216.44