Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.49 / $564.91 / $2,103.17	Facility		$239.49	$564.91	$2,103.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.88 / $300.00 / $572.54	Professional		$116.88	$300.00	$572.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $381.70 / $610.72 / $1,335.95	Facility		$381.70	$610.72	$1,335.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $286.27 / $745.52 / $2,862.75	Professional		$286.27	$745.52	$2,862.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $516.12 / $846.30 / $992.44	Facility		$516.12	$846.30	$992.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.90 / $428.11 / $540.19	Professional		$192.90	$428.11	$540.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $376.65 / $482.40 / $1,181.05	Facility		$376.65	$482.40	$1,181.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $381.70 / $561.10 / $1,056.65	Professional		$381.70	$561.10	$1,056.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $373.68 / $405.05	Professional		$75.00	$373.68	$405.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $381.70 / $381.70 / $801.57	Facility		$381.70	$381.70	$801.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $343.53 / $667.98 / $1,145.09	Facility		$343.53	$667.98	$1,145.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.53 / $477.13 / $576.37	Professional		$343.53	$477.13	$576.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $400.79 / $626.37 / $1,049.68	Facility		$400.79	$626.37	$1,049.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $422.16 / $742.82 / $887.78	Professional		$422.16	$742.82	$887.78
United Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $160.31 / $458.04	Professional		$63.72	$160.31	$458.04