Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.54 / $455.84 / $1,697.08	Facility		$254.54	$455.84	$1,697.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.59 / $289.52 / $455.84	Professional		$112.59	$289.52	$455.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $299.16 / $483.56 / $1,272.47	Facility		$299.16	$483.56	$1,272.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $203.28 / $601.85 / $2,310.00	Professional		$203.28	$601.85	$2,310.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.94 / $496.50 / $795.29	Facility		$64.94	$496.50	$795.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.77 / $325.76 / $420.36	Professional		$155.77	$325.76	$420.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $304.11 / $389.25 / $953.15	Facility		$304.11	$389.25	$953.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $452.76 / $852.75	Professional		$308.00	$452.76	$852.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $274.12 / $301.53 / $828.99	Professional		$274.12	$301.53	$828.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $308.00 / $308.00 / $646.79	Facility		$308.00	$308.00	$646.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.43 / $492.80 / $924.00	Facility		$273.43	$492.80	$924.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.20 / $385.00 / $465.08	Professional		$277.20	$385.00	$465.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $323.39 / $505.43 / $847.00	Facility		$323.39	$505.43	$847.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $340.65 / $599.37 / $715.95	Professional		$340.65	$599.37	$715.95
United Facility/Professional Professional Modifier Low / Median / High Price $67.72 / $129.36 / $344.96	Professional		$67.72	$129.36	$344.96