Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.38 / $449.93 / $1,151.15	Facility		$196.38	$449.93	$1,151.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.35 / $196.38 / $329.30	Professional		$125.35	$196.38	$329.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $219.37 / $365.61 / $863.13	Facility		$219.37	$365.61	$863.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $188.03 / $388.71 / $1,566.90	Professional		$188.03	$388.71	$1,566.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.28 / $463.21 / $670.60	Facility		$217.28	$463.21	$670.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.30 / $234.64 / $285.01	Professional		$130.30	$234.64	$285.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $208.92 / $307.26 / $715.31	Facility		$208.92	$307.26	$715.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.92 / $369.45 / $646.45	Professional		$208.92	$369.45	$646.45
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 $208.92 / $208.92 / $438.73	Facility		$208.92	$208.92	$438.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.92 / $365.61 / $626.76	Facility		$208.92	$365.61	$626.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.03 / $261.14 / $315.47	Professional		$188.03	$261.14	$315.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $219.37 / $344.72 / $574.53	Facility		$219.37	$344.72	$574.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $243.59 / $406.77 / $486.07	Professional		$243.59	$406.77	$486.07
United Facility/Professional Facility Modifier Low / Median / High Price $208.92 / $250.70 / $250.70	Facility		$208.92	$250.70	$250.70
United Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $87.75 / $233.99	Professional		$87.75	$87.75	$233.99