Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.49 / $499.84 / $1,860.89	Facility		$204.49	$499.84	$1,860.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.45 / $317.47 / $499.84	Professional		$90.45	$317.47	$499.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $303.95 / $530.24 / $1,395.30	Facility		$303.95	$530.24	$1,395.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $222.89 / $660.11 / $2,532.98	Professional		$222.89	$660.11	$2,532.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.94 / $544.41 / $872.04	Facility		$64.94	$544.41	$872.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.70 / $356.92 / $460.57	Professional		$170.70	$356.92	$460.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $426.60 / $1,045.50	Facility		$333.25	$426.60	$1,045.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $337.73 / $496.46 / $935.37	Professional		$337.73	$496.46	$935.37
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 $337.73 / $337.73 / $709.23	Facility		$337.73	$337.73	$709.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.66 / $540.37 / $1,013.19	Facility		$219.66	$540.37	$1,013.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.95 / $422.16 / $509.97	Professional		$303.95	$422.16	$509.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $354.62 / $554.21 / $928.76	Facility		$354.62	$554.21	$928.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $373.53 / $657.30 / $785.61	Professional		$373.53	$657.30	$785.61
United Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $141.85 / $378.26	Professional		$54.40	$141.85	$378.26