Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.66 / $440.24 / $1,064.81	Facility		$181.66	$440.24	$1,064.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.75 / $181.66 / $286.01	Professional		$121.75	$181.66	$286.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $202.91 / $309.20 / $676.38	Facility		$202.91	$309.20	$676.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $181.66 / $395.57 / $1,449.38	Professional		$181.66	$395.57	$1,449.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.98 / $410.78 / $498.99	Facility		$200.98	$410.78	$498.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.37 / $210.18 / $282.58	Professional		$95.37	$210.18	$282.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $193.25 / $241.56 / $661.87	Facility		$193.25	$241.56	$661.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $328.52 / $598.15	Professional		$193.25	$328.52	$598.15
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 $193.25 / $202.91 / $289.88	Facility		$193.25	$202.91	$289.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.25 / $338.19 / $579.75	Facility		$193.25	$338.19	$579.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.93 / $241.56 / $291.81	Professional		$173.93	$241.56	$291.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $202.91 / $309.30 / $531.44	Facility		$202.91	$309.30	$531.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $213.73 / $375.79 / $449.69	Professional		$213.73	$375.79	$449.69
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $81.17 / $216.44	Professional		$81.17	$81.17	$216.44