Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.73 / $417.48 / $1,358.33	Facility		$231.73	$417.48	$1,358.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $231.73 / $387.66	Professional		$147.90	$231.73	$387.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $246.52 / $394.43 / $862.82	Facility		$246.52	$394.43	$862.82
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $209.75 / $458.01 / $1,848.90	Professional		$209.75	$458.01	$1,848.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.37 / $397.40 / $640.96	Facility		$29.37	$397.40	$640.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.20 / $260.68 / $336.38	Professional		$125.20	$260.68	$336.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $243.35 / $311.85 / $762.52	Facility		$243.35	$311.85	$762.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.52 / $362.38 / $682.20	Professional		$246.52	$362.38	$682.20
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 $246.52 / $246.52 / $517.69	Facility		$246.52	$246.52	$517.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $221.87 / $428.94 / $739.56	Facility		$221.87	$428.94	$739.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.87 / $308.14 / $372.25	Professional		$221.87	$308.14	$372.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $258.85 / $404.54 / $677.93	Facility		$258.85	$404.54	$677.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $272.64 / $479.50 / $573.53	Professional		$272.64	$479.50	$573.53
United Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $103.64 / $276.10	Professional		$103.54	$103.64	$276.10