Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.26 / $254.49 / $681.48	Facility		$116.26	$254.49	$681.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.82 / $132.29 / $381.45	Professional		$99.82	$132.29	$381.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $129.86 / $206.13 / $510.97	Facility		$129.86	$206.13	$510.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $111.31 / $229.95 / $927.60	Professional		$111.31	$229.95	$927.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.87 / $224.31 / $361.76	Facility		$70.87	$224.31	$361.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.16 / $138.82 / $189.75	Professional		$77.16	$138.82	$189.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $182.06 / $422.81	Facility		$123.68	$182.06	$422.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.68 / $218.70 / $382.10	Professional		$123.68	$218.70	$382.10
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 $123.68 / $123.68 / $259.73	Facility		$123.68	$123.68	$259.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.31 / $216.44 / $371.04	Facility		$111.31	$216.44	$371.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.31 / $154.60 / $186.76	Professional		$111.31	$154.60	$186.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $129.86 / $204.07 / $340.12	Facility		$129.86	$204.07	$340.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.21 / $240.43 / $287.93	Professional		$144.21	$240.43	$287.93
United Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $148.41 / $148.41	Facility		$123.68	$148.41	$148.41
United Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $70.76 / $148.41	Professional		$51.95	$70.76	$148.41