Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.50 / $315.68 / $1,175.28	Facility		$200.50	$315.68	$1,175.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.65 / $200.50 / $343.45	Professional		$106.65	$200.50	$343.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $223.97 / $341.28 / $881.23	Facility		$223.97	$341.28	$881.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $159.97 / $435.84 / $1,599.75	Professional		$159.97	$435.84	$1,599.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.84 / $399.27 / $550.79	Facility		$221.84	$399.27	$550.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.91 / $239.02 / $301.98	Professional		$107.91	$239.02	$301.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $210.80 / $270.00 / $660.00	Facility		$210.80	$270.00	$660.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.30 / $313.55 / $590.48	Professional		$213.30	$313.55	$590.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $208.82 / $226.34	Professional		$75.00	$208.82	$226.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $213.30 / $213.30 / $447.93	Facility		$213.30	$213.30	$447.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.30 / $373.28 / $639.90	Facility		$213.30	$373.28	$639.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.97 / $266.63 / $322.08	Professional		$191.97	$266.63	$322.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $223.97 / $350.03 / $586.58	Facility		$223.97	$350.03	$586.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $235.91 / $414.85 / $496.13	Professional		$235.91	$414.85	$496.13
United Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $89.59 / $238.90	Professional		$63.72	$89.59	$238.90