Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.42 / $489.88 / $1,823.81	Facility		$291.42	$489.88	$1,823.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.91 / $311.14 / $489.88	Professional		$128.91	$311.14	$489.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $331.00 / $519.66 / $1,367.49	Facility		$331.00	$519.66	$1,367.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $218.46 / $646.87 / $2,482.50	Professional		$218.46	$646.87	$2,482.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.35 / $677.72 / $860.60	Facility		$333.35	$677.72	$860.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.24 / $350.00 / $451.63	Professional		$167.24	$350.00	$451.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $326.43 / $418.05 / $1,023.48	Facility		$326.43	$418.05	$1,023.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.00 / $486.57 / $915.66	Professional		$331.00	$486.57	$915.66
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 $331.00 / $331.00 / $695.10	Facility		$331.00	$331.00	$695.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $297.89 / $529.60 / $993.00	Facility		$297.89	$529.60	$993.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.89 / $413.75 / $499.81	Professional		$297.89	$413.75	$499.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $347.55 / $543.16 / $910.25	Facility		$347.55	$543.16	$910.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $366.09 / $643.82 / $769.36	Professional		$366.09	$643.82	$769.36
United Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $139.02 / $370.72	Professional		$77.54	$139.02	$370.72