Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.87 / $650.64 / $1,142.28	Facility		$194.87	$650.64	$1,142.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.87 / $194.87 / $650.64	Professional		$194.87	$194.87	$650.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $217.68 / $340.20 / $856.48	Facility		$217.68	$340.20	$856.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $424.06 / $1,554.83	Professional		$207.31	$424.06	$1,554.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.60 / $440.67 / $665.44	Facility		$215.60	$440.67	$665.44
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 $207.31 / $362.79 / $690.34	Facility		$207.31	$362.79	$690.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.58 / $259.14 / $366.13	Professional		$186.58	$259.14	$366.13
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 $248.58 / $403.40 / $482.20	Professional		$248.58	$403.40	$482.20
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $124.39 / $232.19	Professional		$87.07	$124.39	$232.19