Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.78 / $306.39 / $1,059.68	Facility		$180.78	$306.39	$1,059.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.78 / $238.73 / $323.12	Professional		$180.78	$238.73	$323.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $201.94 / $307.70 / $794.55	Facility		$201.94	$307.70	$794.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $163.47 / $376.07 / $1,442.40	Professional		$163.47	$376.07	$1,442.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.02 / $408.82 / $500.04	Facility		$200.02	$408.82	$500.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.18 / $215.52 / $262.22	Professional		$97.18	$215.52	$262.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $182.68 / $243.00 / $594.75	Facility		$182.68	$243.00	$594.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.68 / $275.39 / $521.65	Professional		$182.68	$275.39	$521.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $171.16 / $188.27 / $517.62	Professional		$171.16	$188.27	$517.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $192.32 / $192.32 / $403.87	Facility		$192.32	$192.32	$403.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.32 / $336.56 / $576.96	Facility		$192.32	$336.56	$576.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.09 / $240.40 / $290.39	Professional		$173.09	$240.40	$290.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $201.94 / $315.60 / $528.88	Facility		$201.94	$315.60	$528.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $212.71 / $374.44 / $447.37	Professional		$212.71	$374.44	$447.37
United Facility/Professional Professional Modifier Low / Median / High Price $80.77 / $80.77 / $215.40	Professional		$80.77	$80.77	$215.40