Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.96 / $510.12 / $1,289.33	Facility		$219.96	$510.12	$1,289.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.93 / $219.96 / $346.32	Professional		$82.93	$219.96	$346.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $374.40 / $966.75	Facility		$234.00	$374.40	$966.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $210.60 / $457.51 / $1,755.00	Professional		$210.60	$457.51	$1,755.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.37 / $479.12 / $604.22	Facility		$29.37	$479.12	$604.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.76 / $262.52 / $331.05	Professional		$123.76	$262.52	$331.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $230.95 / $292.50 / $668.04	Facility		$230.95	$292.50	$668.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $343.98 / $648.09	Professional		$234.00	$343.98	$648.09
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 $234.00 / $234.00 / $491.40	Facility		$234.00	$234.00	$491.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.60 / $409.50 / $702.00	Facility		$210.60	$409.50	$702.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.60 / $292.50 / $353.34	Professional		$210.60	$292.50	$353.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $245.70 / $383.99 / $643.50	Facility		$245.70	$383.99	$643.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $258.80 / $455.26 / $544.12	Professional		$258.80	$455.26	$544.12
United Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $98.28 / $262.08	Professional		$98.28	$98.28	$262.08