Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.50 / $475.40 / $1,216.28	Facility		$207.50	$475.40	$1,216.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.00 / $210.28 / $326.70	Professional		$179.00	$210.28	$326.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $231.78 / $386.30 / $911.97	Facility		$231.78	$386.30	$911.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $198.67 / $410.13 / $1,655.55	Professional		$198.67	$410.13	$1,655.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.31 / $400.34 / $645.66	Facility		$126.31	$400.34	$645.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.76 / $248.13 / $301.08	Professional		$137.76	$248.13	$301.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $220.74 / $324.66 / $755.62	Facility		$220.74	$324.66	$755.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.74 / $390.60 / $682.88	Professional		$220.74	$390.60	$682.88
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 $220.74 / $220.74 / $463.55	Facility		$220.74	$220.74	$463.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.67 / $386.30 / $662.22	Facility		$198.67	$386.30	$662.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.67 / $275.93 / $333.32	Professional		$198.67	$275.93	$333.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $231.78 / $364.22 / $607.04	Facility		$231.78	$364.22	$607.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $257.38 / $429.67 / $513.16	Professional		$257.38	$429.67	$513.16
United Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $126.48 / $247.23	Professional		$92.71	$126.48	$247.23