Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.41 / $439.27 / $1,110.27	Facility		$189.41	$439.27	$1,110.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.66 / $189.41 / $392.93	Professional		$145.66	$189.41	$392.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $211.58 / $352.63 / $705.25	Facility		$211.58	$352.63	$705.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $173.46 / $374.85 / $1,511.25	Professional		$173.46	$374.85	$1,511.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.95 / $412.59 / $589.41	Facility		$64.95	$412.59	$589.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.75 / $226.26 / $274.73	Professional		$125.75	$226.26	$274.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $201.50 / $296.64 / $689.06	Facility		$201.50	$296.64	$689.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.50 / $356.40 / $622.72	Professional		$201.50	$356.40	$622.72
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 $201.50 / $201.50 / $423.15	Facility		$201.50	$201.50	$423.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.35 / $352.63 / $604.50	Facility		$181.35	$352.63	$604.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.35 / $251.88 / $304.27	Professional		$181.35	$251.88	$304.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $211.58 / $332.48 / $554.13	Facility		$211.58	$332.48	$554.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $234.94 / $391.95 / $468.27	Professional		$234.94	$391.95	$468.27
United Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $115.17 / $225.68	Professional		$84.63	$115.17	$225.68