Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.31 / $472.27 / $1,121.55	Facility		$207.31	$472.27	$1,121.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.20 / $197.48 / $365.90	Professional		$113.20	$197.48	$365.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $217.68 / $345.53 / $856.48	Facility		$217.68	$345.53	$856.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $186.58 / $385.56 / $1,554.83	Professional		$186.58	$385.56	$1,554.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.77 / $375.97 / $606.38	Facility		$59.77	$375.97	$606.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.38 / $232.82 / $317.75	Professional		$129.38	$232.82	$317.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $207.31 / $305.14 / $709.68	Facility		$207.31	$305.14	$709.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $366.75 / $641.35	Professional		$207.31	$366.75	$641.35
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 $207.31 / $207.31 / $435.35	Facility		$207.31	$207.31	$435.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.58 / $362.79 / $621.92	Facility		$186.58	$362.79	$621.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.58 / $259.14 / $313.04	Professional		$186.58	$259.14	$313.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $217.68 / $342.06 / $570.10	Facility		$217.68	$342.06	$570.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $241.72 / $403.40 / $482.20	Professional		$241.72	$403.40	$482.20
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $87.07 / $232.19	Professional		$87.07	$87.07	$232.19