Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.31 / $342.47 / $828.32	Facility		$141.31	$342.47	$828.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $141.31 / $222.49	Professional		$90.20	$141.31	$222.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $157.85 / $240.53 / $883.04	Facility		$157.85	$240.53	$883.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $135.30 / $293.97 / $1,127.48	Professional		$135.30	$293.97	$1,127.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.43 / $242.32 / $390.84	Facility		$67.43	$242.32	$390.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $168.53 / $212.71	Professional		$79.45	$168.53	$212.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $148.49 / $187.91 / $429.51	Facility		$148.49	$187.91	$429.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $220.99 / $416.14	Professional		$150.33	$220.99	$416.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $147.16 / $159.52	Professional		$75.00	$147.16	$159.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $150.33 / $315.69	Facility		$150.33	$150.33	$315.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $263.08 / $450.99	Facility		$150.33	$263.08	$450.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.30 / $187.91 / $227.00	Professional		$135.30	$187.91	$227.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $157.85 / $246.69 / $413.41	Facility		$157.85	$246.69	$413.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $166.26 / $292.27 / $349.85	Professional		$166.26	$292.27	$349.85
United Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $63.14 / $168.37	Professional		$63.14	$63.14	$168.37