Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.09 / $433.37 / $1,020.45	Facility		$174.09	$433.37	$1,020.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $270.66 / $436.04	Professional		$113.00	$270.66	$436.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $194.46 / $303.91 / $765.14	Facility		$194.46	$303.91	$765.14
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $166.68 / $362.17 / $1,389.00	Professional		$166.68	$362.17	$1,389.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.11 / $364.32 / $481.15	Facility		$145.11	$364.32	$481.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.97 / $207.81 / $252.84	Professional		$97.97	$207.81	$252.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $182.59 / $231.50 / $528.15	Facility		$182.59	$231.50	$528.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $272.24 / $512.40	Professional		$185.20	$272.24	$512.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $181.31 / $196.52	Professional		$75.00	$181.31	$196.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $185.20 / $388.92	Facility		$185.20	$185.20	$388.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.68 / $324.10 / $555.60	Facility		$166.68	$324.10	$555.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.68 / $231.50 / $279.64	Professional		$166.68	$231.50	$279.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $194.46 / $303.91 / $509.30	Facility		$194.46	$303.91	$509.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $204.83 / $360.30 / $430.34	Professional		$204.83	$360.30	$430.34
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $77.78 / $207.42	Professional		$77.78	$77.78	$207.42