Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.11 / $739.43 / $1,788.44	Facility		$305.11	$739.43	$1,788.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.03 / $194.75 / $305.11	Professional		$172.03	$194.75	$305.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $340.81 / $519.33 / $1,340.97	Facility		$340.81	$519.33	$1,340.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $292.12 / $634.29 / $2,434.35	Professional		$292.12	$634.29	$2,434.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.90 / $664.59 / $844.65	Facility		$164.90	$664.59	$844.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.29 / $343.07 / $442.70	Professional		$155.29	$343.07	$442.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $310.26 / $437.76 / $1,003.98	Facility		$310.26	$437.76	$1,003.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $320.54 / $477.13 / $880.57	Professional		$320.54	$477.13	$880.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.88 / $317.76 / $873.60	Professional		$288.88	$317.76	$873.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $324.58 / $324.58 / $486.87	Facility		$324.58	$324.58	$486.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $324.58 / $568.02 / $973.74	Facility		$324.58	$568.02	$973.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.12 / $405.72 / $490.12	Professional		$292.12	$405.72	$490.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $340.81 / $519.33 / $892.60	Facility		$340.81	$519.33	$892.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $358.99 / $631.70 / $754.65	Professional		$358.99	$631.70	$754.65
United Facility/Professional Professional Modifier Low / Median / High Price $136.32 / $136.32 / $363.53	Professional		$136.32	$136.32	$363.53