Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.64 / $629.85 / $1,885.71	Facility		$327.64	$629.85	$1,885.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.13 / $327.64 / $595.79	Professional		$227.13	$327.64	$595.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $365.99 / $571.99 / $1,440.04	Facility		$365.99	$571.99	$1,440.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $313.70 / $648.27 / $2,614.19	Professional		$313.70	$648.27	$2,614.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.49 / $561.87 / $929.44	Facility		$174.49	$561.87	$929.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.17 / $376.78 / $475.31	Professional		$184.17	$376.78	$475.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $348.56 / $451.80 / $1,077.70	Facility		$348.56	$451.80	$1,077.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $348.56 / $512.38 / $964.17	Professional		$348.56	$512.38	$964.17
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 $348.56 / $348.56 / $731.98	Facility		$348.56	$348.56	$731.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.70 / $609.98 / $1,045.68	Facility		$313.70	$609.98	$1,045.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.70 / $435.70 / $526.33	Professional		$313.70	$435.70	$526.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $365.99 / $571.99 / $958.54	Facility		$365.99	$571.99	$958.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $385.51 / $678.17 / $810.38	Professional		$385.51	$678.17	$810.38
United Facility/Professional Professional Modifier Low / Median / High Price $146.40 / $165.66 / $390.39	Professional		$146.40	$165.66	$390.39