Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.75 / $425.93 / $1,405.33	Facility		$239.75	$425.93	$1,405.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $239.75 / $411.47	Professional		$200.00	$239.75	$411.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $267.80 / $408.08 / $1,053.71	Facility		$267.80	$408.08	$1,053.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $229.55 / $498.56 / $1,912.88	Professional		$229.55	$498.56	$1,912.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.86 / $542.15 / $682.00	Facility		$256.86	$542.15	$682.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.10 / $286.02 / $347.99	Professional		$132.10	$286.02	$347.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $204.04 / $317.14 / $788.78	Facility		$204.04	$317.14	$788.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.74 / $322.20 / $691.82	Professional		$218.74	$322.20	$691.82
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 $255.05 / $255.05 / $535.61	Facility		$255.05	$255.05	$535.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.05 / $446.34 / $765.15	Facility		$255.05	$446.34	$765.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.55 / $318.81 / $385.13	Professional		$229.55	$318.81	$385.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $267.80 / $418.54 / $701.39	Facility		$267.80	$418.54	$701.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $282.08 / $496.34 / $592.88	Professional		$282.08	$496.34	$592.88
United Facility/Professional Professional Modifier Low / Median / High Price $89.10 / $107.12 / $285.66	Professional		$89.10	$107.12	$285.66