Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.72 / $352.24 / $1,311.38	Facility		$223.72	$352.24	$1,311.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.56 / $223.72 / $352.24	Professional		$124.56	$223.72	$352.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $249.90 / $373.66 / $983.27	Facility		$249.90	$373.66	$983.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $178.50 / $464.79 / $1,785.00	Professional		$178.50	$464.79	$1,785.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.69 / $487.31 / $618.79	Facility		$239.69	$487.31	$618.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.29 / $266.93 / $336.66	Professional		$120.29	$266.93	$336.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $234.98 / $300.60 / $736.25	Facility		$234.98	$300.60	$736.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $238.00 / $349.86 / $658.70	Professional		$238.00	$349.86	$658.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $233.00 / $252.56	Professional		$75.00	$233.00	$252.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $238.00 / $238.00 / $499.80	Facility		$238.00	$238.00	$499.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.00 / $380.80 / $714.00	Facility		$238.00	$380.80	$714.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.20 / $297.50 / $359.38	Professional		$214.20	$297.50	$359.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $249.90 / $390.56 / $654.50	Facility		$249.90	$390.56	$654.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $263.23 / $463.33 / $553.41	Professional		$263.23	$463.33	$553.41
United Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $99.96 / $266.56	Professional		$67.91	$99.96	$266.56