Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.36 / $284.16 / $1,057.92	Facility		$131.36	$284.16	$1,057.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.57 / $180.48 / $284.16	Professional		$58.57	$180.48	$284.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $201.60 / $307.20 / $793.23	Facility		$201.60	$307.20	$793.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $172.80 / $398.81 / $1,440.00	Professional		$172.80	$398.81	$1,440.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.92 / $312.00 / $495.77	Facility		$122.92	$312.00	$495.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $202.87 / $261.77	Professional		$40.11	$202.87	$261.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $192.00 / $240.00 / $593.90	Facility		$192.00	$240.00	$593.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $282.24 / $593.90	Professional		$192.00	$282.24	$593.90
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 $192.00 / $192.00 / $403.20	Facility		$192.00	$192.00	$403.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.00 / $336.00 / $576.00	Facility		$192.00	$336.00	$576.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.80 / $240.00 / $289.92	Professional		$172.80	$240.00	$289.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $201.60 / $301.44 / $528.00	Facility		$201.60	$301.44	$528.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $212.35 / $373.77 / $446.60	Professional		$212.35	$373.77	$446.60
United Facility/Professional Professional Modifier Low / Median / High Price $35.14 / $80.64 / $215.04	Professional		$35.14	$80.64	$215.04