Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.31 / $426.76 / $813.29	Facility		$141.31	$426.76	$813.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.67 / $163.05 / $176.49	Professional		$79.67	$163.05	$176.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $157.85 / $240.53 / $883.04	Facility		$157.85	$240.53	$883.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $135.30 / $307.66 / $1,127.48	Professional		$135.30	$307.66	$1,127.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.95 / $244.28 / $388.15	Facility		$79.95	$244.28	$388.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $163.52 / $219.85	Professional		$74.20	$163.52	$219.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $187.91 / $514.67	Facility		$150.33	$187.91	$514.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $220.99 / $465.12	Professional		$150.33	$220.99	$465.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $147.16 / $159.52	Professional		$75.00	$147.16	$159.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $157.85 / $225.50	Facility		$150.33	$157.85	$225.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $263.08 / $450.99	Facility		$150.33	$263.08	$450.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.30 / $187.91 / $227.00	Professional		$135.30	$187.91	$227.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $157.85 / $240.53 / $413.41	Facility		$157.85	$240.53	$413.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $166.26 / $292.27 / $349.85	Professional		$166.26	$292.27	$349.85
United Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $63.14 / $168.37	Professional		$63.14	$63.14	$168.37