Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $341.72 / $826.50	Facility		$141.00	$341.72	$826.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.00 / $222.00	Professional		$100.00	$141.00	$222.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $157.50 / $246.15 / $619.71	Facility		$157.50	$246.15	$619.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $293.31 / $1,125.00	Professional		$135.00	$293.31	$1,125.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.03 / $241.80 / $390.00	Facility		$34.03	$241.80	$390.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.88 / $168.16 / $204.60	Professional		$75.88	$168.16	$204.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $148.18 / $187.50 / $428.62	Facility		$148.18	$187.50	$428.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $220.50 / $415.38	Professional		$150.00	$220.50	$415.38
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 $150.00 / $150.00 / $315.00	Facility		$150.00	$150.00	$315.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $262.50 / $450.00	Facility		$135.00	$262.50	$450.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $187.50 / $226.50	Professional		$135.00	$187.50	$226.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $157.50 / $246.15 / $412.50	Facility		$157.50	$246.15	$412.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $165.90 / $291.60 / $349.07	Professional		$165.90	$291.60	$349.07
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $63.00 / $168.00	Professional		$63.00	$63.00	$168.00