Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.33 / $626.09 / $1,514.31	Facility		$258.33	$626.09	$1,514.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $258.33 / $412.24	Professional		$175.00	$258.33	$412.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $288.57 / $439.73 / $1,135.43	Facility		$288.57	$439.73	$1,135.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $247.35 / $559.69 / $2,061.23	Professional		$247.35	$559.69	$2,061.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.57 / $562.72 / $714.56	Facility		$182.57	$562.72	$714.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.22 / $308.05 / $374.80	Professional		$145.22	$308.05	$374.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $270.94 / $343.54 / $783.71	Facility		$270.94	$343.54	$783.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $404.00 / $760.27	Professional		$274.83	$404.00	$760.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $269.06 / $291.64	Professional		$75.00	$269.06	$291.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $274.83 / $577.14	Facility		$274.83	$274.83	$577.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $480.95 / $824.49	Facility		$274.83	$480.95	$824.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.35 / $343.54 / $414.99	Professional		$247.35	$343.54	$414.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $288.57 / $451.00 / $755.78	Facility		$288.57	$451.00	$755.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $303.95 / $534.73 / $639.32	Professional		$303.95	$534.73	$639.32
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $115.43 / $307.81	Professional		$115.43	$115.43	$307.81