Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.52 / $701.66 / $1,697.08	Facility		$289.52	$701.66	$1,697.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.80 / $289.52 / $455.84	Professional		$184.80	$289.52	$455.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $323.39 / $492.80 / $1,272.47	Facility		$323.39	$492.80	$1,272.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $277.20 / $629.86 / $2,310.00	Professional		$277.20	$629.86	$2,310.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.32 / $654.71 / $795.29	Facility		$320.32	$654.71	$795.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.01 / $335.00 / $450.42	Professional		$152.01	$335.00	$450.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $308.00 / $385.00 / $1,054.68	Facility		$308.00	$385.00	$1,054.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $523.60 / $953.15	Professional		$308.00	$523.60	$953.15
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 $308.00 / $323.39 / $462.00	Facility		$308.00	$323.39	$462.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.00 / $539.00 / $924.00	Facility		$308.00	$539.00	$924.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.20 / $385.00 / $465.08	Professional		$277.20	$385.00	$465.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $323.39 / $492.80 / $847.00	Facility		$323.39	$492.80	$847.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $340.65 / $599.37 / $715.95	Professional		$340.65	$599.37	$715.95
United Facility/Professional Professional Modifier Low / Median / High Price $129.36 / $129.36 / $344.96	Professional		$129.36	$129.36	$344.96