Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.27 / $686.51 / $1,927.88	Facility		$283.27	$686.51	$1,927.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $283.27 / $450.00	Professional		$175.00	$283.27	$450.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $316.42 / $482.16 / $1,601.02	Facility		$316.42	$482.16	$1,601.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $271.22 / $616.00 / $2,260.13	Professional		$271.22	$616.00	$2,260.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.89 / $516.12 / $783.52	Facility		$234.89	$516.12	$783.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.25 / $337.79 / $426.44	Professional		$159.25	$337.79	$426.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $297.29 / $376.69 / $859.93	Facility		$297.29	$376.69	$859.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $442.98 / $834.55	Professional		$301.35	$442.98	$834.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $295.02 / $319.78	Professional		$75.00	$295.02	$319.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $301.35 / $632.84	Facility		$301.35	$301.35	$632.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $542.42 / $904.05	Facility		$301.35	$542.42	$904.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.22 / $376.69 / $455.04	Professional		$271.22	$376.69	$455.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $316.42 / $494.52 / $828.71	Facility		$316.42	$494.52	$828.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $333.29 / $586.58 / $700.47	Professional		$333.29	$586.58	$700.47
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $126.57 / $337.51	Professional		$126.57	$126.57	$337.51